Organization Active NPI

Serendipity Therapy, PLLC

  • Community/Behavioral Health Agency
  • Belmont, NC
National Provider Identifier
1356719710
Registry record updated Sep 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
C007005 Issued in NC
Legal business name
SERENDIPITY THERAPY, PLLC
Practice address
1165 McKee Farm LN
Belmont, NC 28012-8671
Phone
(704) 928-8266
Fax
(704) 234-6854
NPI assigned
Sep 2, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2015

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

Authorized official

Name
Katie Moore, LCSW
Title
Co-Owner/Therapist
Phone
(704) 928-8266

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X C007005 NC Primary

Addresses

Primary practice location

1165 McKee Farm LN
Belmont, NC 28012-8671

Mailing address

1165 McKee Farm LN
Belmont, NC 28012-8671
Phone (704) 928-8266

National Provider Directory

National Provider Directory
Tax ID family
Serendipity Therapy PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1441152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441152000000",
    "number": "1356719710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1165 MCKEE FARM LN",
            "city": "BELMONT",
            "state": "NC",
            "postal_code": "280128671",
            "telephone_number": "704-928-8266",
            "fax_number": "704-234-6854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1165 MCKEE FARM LN",
            "city": "BELMONT",
            "state": "NC",
            "postal_code": "280128671",
            "telephone_number": "704-928-8266",
            "fax_number": "704-234-6854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENDIPITY THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-02",
        "last_updated": "2015-09-02",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "KATIE",
        "authorized_official_title_or_position": "CO-OWNER/THERAPIST",
        "authorized_official_telephone_number": "704-928-8266",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "C007005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belmont, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.