Kimani Seryby, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0701010863 Issued in VA

Practice address

5810 Faulkner St Unit 1202
Durham, NC 27703-7406

Phone

(336) 264-0662

NPI assigned

Nov 21, 2021

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2019

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Greater Outreach Services, LLC

  • Community/Behavioral Health Agency
  • Durham, NC
  • NPI 1427288919

  SC

  Medicare reassignment
• Sentara Medical Group

  • Family Medicine Physician
  • Norfolk, VA
  • NPI 1265485270
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1637452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748995200000",
    "number": "1124785423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5810 FAULKNER ST UNIT 1202",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277037406",
            "telephone_number": "336-264-0662",
            "fax_number": "833-406-3955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5810 FAULKNER ST UNIT 1202",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277037406",
            "telephone_number": "336-264-0662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERYBY",
        "first_name": "KIMANI",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-21",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "18719",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701010863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jen Serio, MSW, LCSW
• Richard Serra, M.D.
• Joshua Serrano Otero, LPC, LCMHC-A, NCC
• Aime P Service, PHARMD,MBA,MA,BA
• Grant H Service, D.D.S.
• Denzel Sesley
• Andrew Joseph Sessions, MD
• Darren Scott Sessler, CRNA
• Katrina Rose Sessler, PMHNP-BC
• Shawn Jay Sethi, DO

• Mental Health Counselor in Durham, NC
• Providers in Durham, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.