Jessica Serber

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

11911 San Vicente Blvd Ste 240
Los Angeles, CA 90049-6619

Phone

(310) 721-3149

NPI assigned

Feb 16, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jan 26, 2024 through Jan 26, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Mindful CBT California, a Licensed Marriage and Family Therapy Corpora

  • Mental Health Counselor
  • Los Angeles, CA
  • NPI 1508627944
  NPD Authorized official

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

{
    "created_epoch": "1613433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613433600000",
    "number": "1972196350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "947 16TH ST APT 3",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904033213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11911 SAN VICENTE BLVD STE 240",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900496619",
            "telephone_number": "310-721-3149"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "947 16th St Apt 3",
            "address_purpose": "LOCATION",
            "city": "Santa Monica",
            "state": "CA",
            "postal_code": "904033213",
            "country_code": "US",
            "telephone_number": "310-721-3149",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SERBER",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-16",
        "last_updated": "2021-02-16",
        "certification_date": "2021-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jessica@mindfulcbtcalifornia.com",
            "affiliation": "N",
            "address_1": "11911 San Vicente Blvd Ste 240",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900496619",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Maria Del Carmen Sera
• Celina Serafin, BS
• Sergio Serafin, MD
• Shinobu Seragaki, PHARM.D.
• Nadia Marcella Seray-Wurie, PMHNP-BC
• Joel Avram Sercarz, MD
• Sarayana Sercarz, LMFT
• Scott P Serden, MD
• Ani Serebrakian
• Leah Serena, LMFT

• 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 Feb 16, 2021; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.