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JESSICA SERBER
NPI 1972196350
Counselor - Mental Health in Los Angeles, CA

Active since February 16, 2021Opted out of Medicare · through Jan 26, 2028
11911 SAN VICENTE BLVD STE 240, LOS ANGELES, CA 90049(310) 721-3149 Get Directions Write a Review

NPPES record last updated: February 16, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jessica Serber NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA SERBER (NPI 1972196350) is an individual mental health provider in Los Angeles, California and active in the NPI registry since February 2021. She has opted out of Medicare through January 26, 2028 and maintains a secondary practice location in Santa Monica.

NPPES Registry Identity

NPI1972196350
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJESSICA SERBER
Location Address11911 SAN VICENTE BLVD STE 240Los Angeles, CA 90049-6619
Mailing Address947 16th St Apt 3Santa Monica, CA 90403-3213
Phone(310) 721-3149
Sole ProprietorNo
Enumeration DateFebruary 16, 2021
NPPES CertifiedFebruary 16, 2021
✔ NPI 1972196350 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
11911 SAN VICENTE BLVD STE 240, Los Angeles, CA 90049
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Secondary Practice Location 1

Location 1947 16th St Apt 3Santa Monica, CA 90403-3213 · Phone (310) 721-3149

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Jessica Serber has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 26, 2024 through January 26, 2028.

Opt-Out Effective DateJanuary 26, 2024
Opt-Out In Effect ThroughJanuary 26, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. PATRICIA MARTIN PSY.D.
Psychologist (Clinical)
11911 SAN VICENTE BLVD STE 240
LOS ANGELES, CA 90049
Los Angeles County (310) 991-2632
SARAH ORECK M.D.
Psychiatry & Neurology (Psychiatry)
11911 SAN VICENTE BLVD STE 240
LOS ANGELES, CA 90049
Los Angeles County (310) 737-2876
NANCY KRIMENDAHL LCSW, PSY.D.
Social Worker (Clinical)
11911 SAN VICENTE BLVD STE 240
LOS ANGELES, CA 90049
Los Angeles County (310) 472-5400
MS. JENNIFER DAWN MUSSELMAN MFT
Marriage & Family Therapist
11911 SAN VICENTE BLVD STE 240
LOS ANGELES, CA 90049
Los Angeles County (310) 614-4660

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Serber's NPI number?

The NPI number for Jessica Serber is 1972196350. It was assigned to this individual provider in the NPPES registry on February 16, 2021.

Where is Jessica Serber located?

Jessica Serber practices at 11911 San Vicente Blvd Ste 240, Los Angeles, CA 90049. The listed phone number is (310) 721-3149.

What is Jessica Serber's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Jessica Serber enrolled in Medicare?

No. Jessica Serber has opted out of Medicare through January 26, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Jessica Serber was last updated on February 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.