JESSICA SERBER
NPI 1972196350
Counselor - Mental Health in Los Angeles, CA
NPI Status: Active since February 16, 2021
Contact Information
11911 SAN VICENTE BLVD STE 240
LOS ANGELES, CA
ZIP 90049
Phone: (310) 721-3149
- Individual
- Female
- Counselor
- Mental Health
- PECOS Enrolled
- Opted-Out Medicare
About JESSICA SERBER
This page provides the complete NPI Profile along with additional information for Jessica Serber, a provider established in Los Angeles, California with a medical specialization in Counselor, focusing in mental health . The healthcare provider is registered in the NPI registry with number 1972196350 assigned on February 2021. The practitioner's primary taxonomy code is 101YM0800X. The provider is registered as an individual and her NPI record was last updated 4 years ago.
- NPI
- 1972196350
- Provider Name
- JESSICA SERBER
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 11911 SAN VICENTE BLVD STE 240 LOS ANGELES, CA 90049
- Location Phone
- (310) 721-3149
- Mailing Address
- 947 16TH ST APT 3 SANTA MONICA, CA 90403
- Is Sole Proprietor?
- No
- Enumeration Date
- 02-16-2021
- Last Update Date
- 02-16-2021
- Code Navigator
A mental health counselor like Jessica Serber provides treatment to individuals, families, couples, and groups for mental and emotional health issues and relationship problems. Mental health counselors treat clients with a variety of conditions, including anxiety, depression, grief, low self-esteem, stress, and suicidal impulses.
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Jessica Serber opted out of Medicare effective on 01-26-2024 until 01-26-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.
Location Map
Secondary Locations
- 947 16th St Apt 3
Santa Monica, CA 90403
(310) 721-3149
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Mental Health
- Taxonomy Code
- 101YM0800X
- Type
- Behavioral Health & Social Service Providers
Medicare Participation & PECOS Enrollment Status
Jessica Serber is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 01-26-2024
Opt-Out End Date: 01-26-2026
Eligible to Order and Refer? No
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
Reviews for JESSICA SERBER
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 9 | 7 | 2 | 1 | 9 | 6 | 3 | 5 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 14 | 2 | 2 | 9 | 12 | 3 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 1 + 4 + 2 + 2 + 9 + 1 + 2 + 3 + 1 + 0 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1972196350 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 4 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1164627154 | DR. PATRICIA MARTIN PSY.D. Individual | Psychologist (Clinical) | 11911 SAN VICENTE BLVD STE 240 LOS ANGELES, CA 90049 (310) 991-2632 |
| 1538445325 | MS. JENNIFER DAWN MUSSELMAN MFT Individual | Marriage & Family Therapist | 11911 SAN VICENTE BLVD STE 240 LOS ANGELES, CA 90049 (310) 614-4660 |
| 1215356118 | SARAH ORECK M.D. Individual | Psychiatry & Neurology (Psychiatry) | 11911 SAN VICENTE BLVD STE 240 LOS ANGELES, CA 90049 (310) 737-2876 |
| 1275107039 | NANCY KRIMENDAHL LCSW, PSY.D. Individual | Social Worker (Clinical) | 11911 SAN VICENTE BLVD STE 240 LOS ANGELES, CA 90049 (310) 472-5400 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1972196350, enumerated in the NPI registry as an "individual" on February 16, 2021
The provider is located at 11911 San Vicente Blvd Ste 240 Los Angeles, Ca 90049 and the phone number is (310) 721-3149
The provider's speciality is Counselor with taxonomy code 101YM0800X with a focus in Mental Health
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
No, the provider signed an affidavit on January 26, 2024 to opt-out of the Medicare program. The provider is excluded from the Medicare program until January 26, 2026.
This NPI record was last updated on February 16, 2021. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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