SERENITY PSYCHIATRIC OUTPATIENT, LLC
NPI 1881973642
Social Worker - Clinical in Mccomb, MS

Active since August 11, 2011
300 RAWLS DR STE 900, MCCOMB, MS 39648(601) 684-8284(601) 684-8199 Get Directions Write a Review

NPPES record last updated: June 20, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 9, 2021, Nov 11, 2019, Jan 2, 2019 and 1 more (4 updates tracked since 2018).

About Serenity Psychiatric Outpatient, Llc NPPES

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

SERENITY PSYCHIATRIC OUTPATIENT, LLC (NPI 1881973642) is a healthcare organization registered as a clinical in Mccomb, Mississippi and active in the NPI registry since August 2011. The organization lists Kristi Stogner, President, as its authorized official.

NPPES Registry Identity

NPI1881973642
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameSERENITY PSYCHIATRIC OUTPATIENT, LLC
Location Address300 RAWLS DR STE 900Mccomb, MS 39648-2864
Mailing Address300 Rawls Dr Ste 900Mccomb, MS 39648-2864 · (601) 684-8284 · Fax (601) 684-8199
Fax(601) 684-8199
Organization SubpartNo
Authorized OfficialKristi StognerPresident · (601) 684-8284
Enumeration DateAugust 11, 2011
Last NPPES UpdateJune 20, 20224 updates tracked since enumeration
NPPES CertifiedJune 20, 2022
✔ NPI 1881973642 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.
300 RAWLS DR STE 900, Mccomb, MS 39648

Other Identifiers 1

Medicaid05503121MS

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

Accepted Insurance

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 Psychiatric Outpatient, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Serenity Psychiatric Outpatient, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Clinical Social Worker
NPI 1922266311
300 RAWLS DR STE 900
Mccomb, MS 39648
(601) 684-8284
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1821560319
1312C HARRISON AVE
Mccomb, MS 39648
(601) 684-8284
✔ PECOS✔ Accepts Medicare0.1 mi
Clinical Social Worker
NPI 1194067850
1701 WHITE ST
Mccomb, MS 39648
(601) 684-2173
✔ PECOS✔ Accepts Medicare0.3 mi
Nurse Practitioner
NPI 1093329633
620 HWY 51
Brookhaven, MS 39601
(601) 823-2345
✔ PECOS✔ Accepts Medicare22 mi
Nurse Practitioner
NPI 1215416250
150 JEFFERSON DAVIS BLVD
Natchez, MS 39120
(601) 446-6634
✔ PECOS✔ Accepts Medicare59 mi
Psychiatry
NPI 1841315546
2969 CURRAN DR N STE 100
Jackson, MS 39216
(601) 914-9993
✔ PECOS✔ Accepts Medicare77 mi

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 Psychiatric Outpatient, LLC's NPI number?

The NPI number for Serenity Psychiatric Outpatient, LLC is 1881973642. It was assigned to this organization in the NPPES registry on August 11, 2011.

Where is Serenity Psychiatric Outpatient, LLC located?

Serenity Psychiatric Outpatient, LLC is located at 300 Rawls Dr Ste 900, Mccomb, MS 39648. The listed phone number is (601) 684-8284.

What is Serenity Psychiatric Outpatient, LLC's specialty?

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

Is Serenity Psychiatric Outpatient, LLC enrolled in Medicare?

Yes. Serenity Psychiatric Outpatient, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Serenity Psychiatric Outpatient, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 3 Medicare specialties reassign their Medicare billing to Serenity Psychiatric Outpatient, 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. The largest specialties are Clinical Social Worker (3), Nurse Practitioner (2) and Psychiatry (1). Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Serenity Psychiatric Outpatient, LLC accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list Serenity Psychiatric Outpatient, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Serenity Psychiatric Outpatient, LLC was last updated on June 20, 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.