Active NPI
Gaetano Serra, LCMHC, LMHC, NCC
- Mental Health Counselor
- Cary, NC
National Provider Identifier
1942864962
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 14814
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 14814 | NC | MD | Mental 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2021; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.