Mindful CBT California, a Licensed Marriage and Family Therapy Corpora

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

MINDFUL CBT CALIFORNIA, A LICENSED MARRIAGE AND FAMILY THERAPY CORPORA

Practice address

12011 San Vicente Blvd Ste 408
Los Angeles, CA 90049-4946

Phone

(310) 721-3149

NPI assigned

Jan 22, 2024

Organization subpart

No

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

Authorized official

Name

Jessica Serber, MASTER OF ARTSNPI 1972196350

Title

President / Clinician

Phone

(310) 721-3149

Specialties & licenses 1

Addresses

Other names 1

• Mindful CBT California Other name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jessica Serber

  • Mental Health Counselor
  • Los Angeles, CA
  • NPI 1972196350
  NPD Authorized official

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

{
    "created_epoch": "1705881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705881600000",
    "number": "1508627944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12011 SAN VICENTE BLVD STE 408",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900494946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12011 SAN VICENTE BLVD STE 408",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900494946",
            "telephone_number": "310-721-3149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL CBT CALIFORNIA, A LICENSED MARRIAGE AND FAMILY THERAPY CORPORA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-22",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A",
        "authorized_official_last_name": "SERBER",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "PRESIDENT / CLINICIAN",
        "authorized_official_telephone_number": "310-721-3149",
        "authorized_official_credential": "MASTER OF ARTS"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mindful CBT California",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Mindbody Health Group
• Marcia T. Mindell, LCSW
• Evelyne Mindes, MD
• Mindfield Medical
• Mindfield Wellness
• Mindful Clinical Services, LLC
• Mindful Clinical Services, LLC
• Mindful Growth Foundation
• Mindful Growth Foundation
• Mindful Growth Foundation

• Mental Health Counselor in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.