Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SERENITY SPACE THERAPY AND SUPERVISION
NPI 1992527097
Social Worker - Clinical in Pensacola, FL

Active since October 29, 2024
1210 E OLIVE RD APT 418, PENSACOLA, FL 32514(850) 497-2284(888) 830-0275 Get Directions Write a Review

NPPES record last updated: October 21, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Serenity Space Therapy And Supervision NPPES

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

SERENITY SPACE THERAPY AND SUPERVISION (NPI 1992527097) is a healthcare organization registered as a clinical in Pensacola, Florida and active in the NPI registry since October 2024. The organization lists Erica Nicole Ward, Owner/lead Therapist, as its authorized official.

NPPES Registry Identity

NPI1992527097
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameSERENITY SPACE THERAPY AND SUPERVISION
Location Address1210 E OLIVE RD APT 418Pensacola, FL 32514-4881
Mailing Address1765 E Nine Mile Rd Ste 1, Pmb427Pensacola, FL 32514-5480 · (850) 497-2284 · Fax (888) 830-0275
Fax(888) 830-0275
Organization SubpartNo
Authorized OfficialErica Nicole WardOwner/lead Therapist · (850) 748-1800
Enumeration DateOctober 29, 2024
Last NPPES UpdateOctober 21, 2026
NPPES CertifiedOctober 21, 2026
✔ NPI 1992527097 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.
1210 E OLIVE RD APT 418, Pensacola, FL 32514

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 Space Therapy And Supervision 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 Space Therapy And Supervision, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Social Worker
NPI 1336488097
1210 E OLIVE RD APT 418
Pensacola, FL 32514
(850) 497-2284
✔ PECOSSame 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 Space Therapy And Supervision's NPI number?

The NPI number for Serenity Space Therapy And Supervision is 1992527097. It was assigned to this organization in the NPPES registry on October 29, 2024.

Where is Serenity Space Therapy And Supervision located?

Serenity Space Therapy And Supervision is located at 1210 E Olive Rd Apt 418, Pensacola, FL 32514. The listed phone number is (850) 497-2284.

What is Serenity Space Therapy And Supervision's specialty?

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

Is Serenity Space Therapy And Supervision enrolled in Medicare?

Yes. Serenity Space Therapy And Supervision is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Serenity Space Therapy And Supervision?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Serenity Space Therapy And Supervision. 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 Space Therapy And Supervision was last updated on October 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days 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.