Individual provider Active NPI

Samantha Lynn Serbin, LPC-A

  • Professional Counselor
  • Leander, TX
National Provider Identifier
1700574688
Registry record updated Nov 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
91516 Issued in TX
Practice address
2036 Texas Sage St
Leander, TX 78641-9058
Phone
(623) 512-7262
NPI assigned
Apr 27, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 91516 TX Primary

Addresses

Primary practice location

2036 Texas Sage St
Leander, TX 78641-9058

Mailing address

2036 Texas Sage St
Leander, TX 78641-9058

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
91516TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Samantha Serbin PLLC Professional CurrentSince Apr 30, 2023 Accepting new patients
Collins Counseling LLC Professional PastSince Apr 1, 2023 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: therapyunlocked.samanthaserbin@155920.advancedmd-direct.com

Organizations & group practices 2

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": "1682553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699660800000",
    "number": "1700574688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2036 TEXAS SAGE ST",
            "city": "LEANDER",
            "state": "TX",
            "postal_code": "786419058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2036 TEXAS SAGE ST",
            "city": "LEANDER",
            "state": "TX",
            "postal_code": "786419058",
            "telephone_number": "623-512-7262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERBIN",
        "first_name": "SAMANTHA",
        "middle_name": "LYNN",
        "credential": "LPC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-27",
        "last_updated": "2023-11-11",
        "certification_date": "2023-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "91516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leander, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2023; 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.