Serenity Behavioral Therapies, PLLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

SERENITY BEHAVIORAL THERAPIES, PLLC

Practice address

200 Valencia Dr Ste 162
Jacksonville, NC 28546-6314

Phone

(910) 381-3010

Fax

(910) 378-7931

NPI assigned

Oct 12, 2023

Organization subpart

No

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

Authorized official

Name

Mrs. Jameszetta Thompson Hardison, MA, LPA, LMFTNPI 1043296585

Title

Owner/Operator

Phone

(910) 381-3010

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jameszetta Hardison, LPA LMFT

  • Psychologist
  • Jacksonville, NC
  • NPI 1043296585
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1697068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697068800000",
    "number": "1821879057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 VALENCIA DR STE 162",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285466314",
            "telephone_number": "910-381-3010",
            "fax_number": "910-378-7931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 VALENCIA DR STE 162",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285466314",
            "telephone_number": "910-381-3010",
            "fax_number": "910-378-7931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY BEHAVIORAL THERAPIES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-12",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A",
        "authorized_official_last_name": "HARDISON",
        "authorized_official_first_name": "JAMESZETTA",
        "authorized_official_middle_name": "THOMPSON",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "910-381-3010",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA, LPA, LMFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Jacksonville, NC
• Providers in Jacksonville, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.