KIMANI SERYBY LPC
NPI 1124785423
Counselor - Mental Health in Durham, NC
About Kimani Seryby Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIMANI SERYBY LPC (NPI 1124785423) is an individual mental health provider in Durham, North Carolina, licensed in Virginia (0701010863) and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kimani Seryby Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kimani Seryby reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Durham, NC 27713
- Reassigned Medicare billing, South Carolina enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kimani Seryby's NPI number?
The NPI number for Kimani Seryby is 1124785423. It was assigned to this individual provider in the NPPES registry on November 21, 2021.
Where is Kimani Seryby located?
Kimani Seryby practices at 5810 Faulkner St Unit 1202, Durham, NC 27703. The listed phone number is (336) 264-0662.
What is Kimani Seryby's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Kimani Seryby enrolled in Medicare?
Yes. Kimani Seryby is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kimani Seryby's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kimani Seryby reassigns Medicare benefits to Greater Outreach Services, LLC (Durham, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kimani Seryby's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kimani Seryby accept?
Health plans from Cigna Healthcare and Oscar Health list Kimani Seryby as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Kimani Seryby was last updated on June 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Kimani Seryby, LPC · NPI 1124785423
Mental Health provider in Durham, North Carolina. Individual provider, active in the CMS NPPES registry since November 21, 2021.
## Identity
- **NPI:** 1124785423 (Entity type: Individual)
- **Enumerated:** November 21, 2021
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 0701010863 (Virginia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 5810 FAULKNER ST UNIT 1202, Durham, NC 27703-7406
- **Phone:** (336) 264-0662
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Greater Outreach Services, LLC (NPI 1427288919, Durham, NC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** June 4, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1124785423) · Data from the CMS NPPES public registry.