Active NPI
David Joshua Serbin, M.A., LMFT, LPCC
- Professional Counselor
- Foothill Ranch, CA
National Provider Identifier
1093489569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 15666
- Practice address
- 26741 Portola Pkwy Ste 1E
Foothill Ranch, CA 92610-1763 - Phone
- (949) 272-4444
- NPI assigned
- Aug 6, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 15666 | CA | Primary |
Addresses
Primary practice location
26741 Portola Pkwy Ste 1E
Foothill Ranch, CA 92610-1763
Mailing address
26741 Portola Pkwy Ste 1E
Foothill Ranch, CA 92610-1763
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240501002541 | CA | Practitioner - Mental Health Counselor | 8123468642 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15666 | CA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PC | Mental Health | Current | Accepting new patients |
Locations
99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788393600000",
"number": "1093489569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26741 PORTOLA PKWY STE 1E",
"city": "FOOTHILL RANCH",
"state": "CA",
"postal_code": "926101763"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26741 PORTOLA PKWY STE 1E",
"city": "FOOTHILL RANCH",
"state": "CA",
"postal_code": "926101763",
"telephone_number": "949-272-4444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SERBIN",
"first_name": "DAVID",
"middle_name": "JOSHUA",
"name_prefix": "Mr.",
"credential": "M.A., LMFT, LPCC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-08-06",
"last_updated": "2026-09-03",
"certification_date": "2026-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "15666",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Foothill Ranch, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.