Serendipity Psychotherapy PLLC
NPI 1265182828ActiveOrganization· Social Worker, Clinical· Round Rock, TX
Social Worker, Clinical in Round Rock, Texas, registered in NPPES in March 2022. The authorized official on file is Tina Louise Bollman, LCSW, Owner. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1265182828 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 26, 2022 |
| Last updated in NPPES | Mar 26, 2022 |
| Certified by provider | Mar 26, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CO); Part B Supplier - Clinic/Group Practice (TX) |
|---|
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