Serenitymind Clinic LLC
NPI 1811888407 · Psychiatric/Mental Health Nurse Practitioner · Cottage Grove, MN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Serenitymind Clinic LLC is a Psychiatric/Mental Health Nurse Practitioner organization in Cottage Grove, MN (NPI 1811888407).
Provider details
- NPI number
- 1811888407
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Funsho King, Owner of Entity(651) 237-3319
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-07-11
- Last updated
- 2025-07-11
- Certified
- 2025-07-11
Frequently asked questions
- What is Serenitymind Clinic LLC's NPI number?
- Serenitymind Clinic LLC's National Provider Identifier (NPI) is 1811888407, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Serenitymind Clinic LLC?
- Serenitymind Clinic LLC is classified in the NPPES registry as Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Serenitymind Clinic LLC located?
- Serenitymind Clinic LLC's practice location on file with NPPES is 6818 91st St S, Cottage Grove, MN 55016-4184.
- What is Serenitymind Clinic LLC's phone number?
- The practice phone number listed in the NPPES registry for Serenitymind Clinic LLC is (651) 237-3319.
- Does Serenitymind Clinic LLC accept Medicare?
- Serenitymind Clinic LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Serenitymind Clinic LLC?
- The authorized official listed on Serenitymind Clinic LLC's NPPES record is Funsho King, Owner of Entity. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Serenitymind Clinic LLC's NPI active?
- Yes — Serenitymind Clinic LLC's NPI (1811888407) is active in the NPPES registry as of the last update on 2025-07-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.