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SERENITY PLACE FAMILY THERAPY LLC
NPI 1528523743
Social Worker - Clinical in The Woodlands, TX

Active since February 01, 2019
2219 SAWDUST RD STE 1101, THE WOODLANDS, TX 77380(832) 264-1928 Get Directions Write a Review

NPPES record last updated: August 2, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 2, 2022, Feb 1, 2019 (2 updates tracked since 2019).

About Serenity Place Family Therapy Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SERENITY PLACE FAMILY THERAPY LLC (NPI 1528523743) is a healthcare organization registered as a clinical in The Woodlands, Texas and active in the NPI registry since February 2019. The organization lists David Dale, Administrator, as its authorized official.

NPPES Registry Identity

NPI1528523743
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameSERENITY PLACE FAMILY THERAPY LLC
Location Address2219 SAWDUST RD STE 1101The Woodlands, TX 77380-2580
Mailing Address2219 Sawdust Rd Ste 1101The Woodlands, TX 77380-2580 · (832) 264-1928
Phone(832) 264-1928
Organization SubpartNo
Authorized OfficialDavid DaleAdministrator · (281) 419-9669
Enumeration DateFebruary 1, 2019
Last NPPES UpdateAugust 2, 20222 updates tracked since enumeration
NPPES CertifiedMarch 25, 2021
✔ NPI 1528523743 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
2219 SAWDUST RD STE 1101, The Woodlands, TX 77380
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Other Identifiers 3

Other0040FVTX · Bcbstx
Other799586Ptan
Medicaid397962701TX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Serenity Place Family Therapy Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Serenity Place Family Therapy LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jaime Guajardo, LCSW
Clinical Social Worker
NPI 1104112457
2219 SAWDUST RD SUITE 1101
The Woodlands, TX 77380
(832) 246-5364
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Serenity Place Family Therapy LLC's NPI number?

The NPI number for Serenity Place Family Therapy LLC is 1528523743. It was assigned to this organization in the NPPES registry on February 1, 2019.

Where is Serenity Place Family Therapy LLC located?

Serenity Place Family Therapy LLC is located at 2219 Sawdust Rd Ste 1101, The Woodlands, TX 77380. The listed phone number is (832) 264-1928.

What is Serenity Place Family Therapy LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Serenity Place Family Therapy LLC enrolled in Medicare?

Yes. Serenity Place Family Therapy LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Serenity Place Family Therapy LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Serenity Place Family Therapy LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Serenity Place Family Therapy LLC was last updated on August 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.