Brandon P Couch

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P019421 Issued in NC

Practice address

430 Magnolia Square CT
Aberdeen, NC 28315-2228

Phone

(910) 637-0051

NPI assigned

Jun 21, 2022

Last updated

Aug 25, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NC

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

Clinical Social Worker

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Serenity Mental and Medical Care PLLCGroup PAC ID 8628301231, 4 clinicians

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Serenity Mental and Medical Care PLLC

  dba Philip R Couch Sole Mbr

  • Family Nurse Practitioner
  • Aberdeen, NC
  • NPI 1225504608
  Medicare reassignment Care Compare group NPD (past)
• Harmony Within Mental Health PLLC

  • Clinical Social Worker
  • Aberdeen, NC
  • NPI 1912474271
  NPD (past)

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

{
    "created_epoch": "1655769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692921600000",
    "number": "1336870369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 TURTLE POINT RD",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283749520",
            "telephone_number": "919-949-1112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 MAGNOLIA SQUARE CT",
            "city": "ABERDEEN",
            "state": "NC",
            "postal_code": "283152228",
            "telephone_number": "910-637-0051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUCH",
        "first_name": "BRANDON",
        "middle_name": "P",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-21",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P019421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "brandon@serenitymmc.com",
            "affiliation": "N",
            "endpointDescription": "private email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "430 Magnolia Square Ct",
            "city": "Aberdeen",
            "state": "NC",
            "country_code": "US",
            "postal_code": "283152228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Bryan Nelson Collins, DPT
• Community Alternative Housing
• Community Helps Network Aberdeen
• Emily Cornel, MS, RDN, LDN, CNSC
• Cottage of Hope LLC (Cottage of Hope and Wellness)
• Creative Concepts Therapeutic Services (Aeshia Jackson)
• Creative Concepts Therapeutic Services
• Gary Paul Dackor, DC
• Buxton Russell Dawson
• Sheryl D Dean

• Clinical Social Worker in Aberdeen, NC
• Providers in Aberdeen, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2023; 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.