Serendipity MPH

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

SERENDIPITY MPH

Doing business as

North Bay Counseling and Behavioral Health Consultants

Practice address

4305 Denny Ave
Pascagoula, MS 39581-5509

Phone

(228) 627-7558

Fax

(228) 762-2064

NPI assigned

Jul 14, 2018

Last updated

Jul 14, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeffrey Cooper

Title

Ceo

Phone

(228) 627-7558

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• North Bay Counseling and Behavioral Health Consultants Doing business as

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

{
    "created_epoch": "1531526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531526400000",
    "number": "1427534221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4305 DENNY AVE",
            "city": "PASCAGOULA",
            "state": "MS",
            "postal_code": "395815509",
            "telephone_number": "228-627-7558",
            "fax_number": "228-762-2064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4305 DENNY AVE",
            "city": "PASCAGOULA",
            "state": "MS",
            "postal_code": "395815509",
            "telephone_number": "228-627-7558",
            "fax_number": "228-762-2064"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4305 Denny Avenue",
            "address_purpose": "LOCATION",
            "city": "Pascagoula",
            "state": "MS",
            "postal_code": "39581",
            "country_code": "US",
            "telephone_number": "228-627-7558",
            "fax_number": "228-762-2064",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SERENDIPITY MPH",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-14",
        "last_updated": "2018-07-14",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "228-627-7558"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ID",
            "identifier": "3974",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Bay Counseling and Behavioral Health Consultants",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Raishunn Denita Sanders
• Hillary Weaver Saucier, NP
• Amy Savell Savell
• Dean Allen Scheurich, DMD
• Ebony Denise Scott, CPSS
• Ruth Shirley Sesera, NP
• Michael Seymour, M.D.
• Leslie Estes Shavers, FNP
• Ashley Summer Sherman
• Renee Shiao

• Substance Use Disorder Rehabilitation Clinic/Center in Pascagoula, MS
• Providers in Pascagoula, MS by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2018; 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.