Individual provider Active NPI

Gaetano Serra, LCMHC, LMHC, NCC

  • Mental Health Counselor
  • Cary, NC
National Provider Identifier
1942864962
Registry record updated Jul 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
14814 Issued in NC
Practice address
2500 Regency Pkwy
Cary, NC 27518-8549
Phone
(919) 446-3099
NPI assigned
Apr 24, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 009305 NY
Mental Health Counselor 101YM0800X 14814 NC Primary

Addresses

Primary practice location

2500 Regency Pkwy
Cary, NC 27518-8549

Mailing address

7121 Hinman LN
Apex, NC 27539-4166
Phone (919) 446-3099

Other practice location 1

72 Ralph Ave
Babylon, NY 11702-2118
Phone (347) 645-5067

Other practice location 2

200 Sanford Rd Ste 2&6
Pittsboro, NC 27312
Phone (919) 335-3105

Other practice location 3

200 Sanford Rd Ste 2&6
Pittsboro, NC 27312
Phone (919) 335-3105

Other practice location 4

800 W Williams St Ste 280
Apex, NC 27502-5203
Phone (919) 335-3105

Other practice location 5

1513 Walnut St Ste 215
Cary, NC 27511-5900
Phone (919) 446-3099

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Sep 23, 2024 through Sep 23, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
14814NCMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1556064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625097600000",
    "number": "1942864962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7121 HINMAN LN",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275394166",
            "telephone_number": "919-446-3099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 REGENCY PKWY",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275188549",
            "telephone_number": "919-446-3099"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "72 Ralph Ave",
            "address_purpose": "LOCATION",
            "city": "Babylon",
            "state": "NY",
            "postal_code": "117022118",
            "country_code": "US",
            "telephone_number": "347-645-5067",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Sanford Rd Ste 2&6",
            "address_purpose": "LOCATION",
            "city": "Pittsboro",
            "state": "NC",
            "postal_code": "27312",
            "country_code": "US",
            "telephone_number": "919-335-3105",
            "fax_number": "919-335-5694",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Sanford Rd Ste 2&6",
            "address_purpose": "LOCATION",
            "city": "Pittsboro",
            "state": "NC",
            "postal_code": "27312",
            "country_code": "US",
            "telephone_number": "919-335-3105",
            "fax_number": "919-335-5694",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 W Williams St Ste 280",
            "address_purpose": "LOCATION",
            "city": "Apex",
            "state": "NC",
            "postal_code": "275025203",
            "country_code": "US",
            "telephone_number": "919-335-3105",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1513 Walnut St Ste 215",
            "address_purpose": "LOCATION",
            "city": "Cary",
            "state": "NC",
            "postal_code": "275115900",
            "country_code": "US",
            "telephone_number": "919-446-3099",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SERRA",
        "first_name": "GAETANO",
        "name_prefix": "Mr.",
        "credential": "LCMHC, LMHC, NCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-24",
        "last_updated": "2021-07-01",
        "certification_date": "2021-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "009305",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "14814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

Verify at the official NPI Registry.