BLUE SERENITY THERAPY LLC
NPI 1649081332
Counselor - Mental Health in Sherwood, AR
About Blue Serenity Therapy Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BLUE SERENITY THERAPY LLC (NPI 1649081332) is a healthcare organization registered as a mental health in Sherwood, Arkansas and active in the NPI registry since January 2025. The organization lists Robin Michelle Jackson, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Blue Serenity 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 Blue Serenity Therapy LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Blue Serenity Therapy LLC's NPI number?
The NPI number for Blue Serenity Therapy LLC is 1649081332. It was assigned to this organization in the NPPES registry on January 14, 2025.
Where is Blue Serenity Therapy LLC located?
Blue Serenity Therapy LLC is located at 15 Pamela Ln, Sherwood, AR 72120. The listed phone number is (501) 944-4660.
What is Blue Serenity Therapy LLC's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Blue Serenity Therapy LLC enrolled in Medicare?
Yes. Blue Serenity Therapy LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Blue Serenity Therapy LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Blue Serenity 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 Blue Serenity Therapy LLC was last updated on February 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.
# Blue Serenity Therapy Llc · NPI 1649081332
Mental Health organization in Sherwood, Arkansas. Organization record, active in the CMS NPPES registry since January 14, 2025.
## Identity
- **NPI:** 1649081332 (Entity type: Organization)
- **Enumerated:** January 14, 2025
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Organization subpart:** No
- **Authorized official:** Robin Jackson, OWNER
## Practice location
- **Address:** 15 PAMELA LN, Sherwood, AR 72120-2645
- **Phone:** (501) 944-4660
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Clinical Social Worker) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 3, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1649081332) · Data from the CMS NPPES public registry.