Isaiah Samuel Hetebrink, MS

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

164833 Issued in CA

Practice address

1440 N Harbor Blvd Ste 600a
Fullerton, CA 92835-4119

Phone

(714) 248-5185

NPI assigned

Aug 19, 2026

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1787097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787097600000",
    "number": "1003722141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2760 ASSOCIATED RD APT D14",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928352951",
            "telephone_number": "559-904-6930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 N HARBOR BLVD STE 600A",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928354119",
            "telephone_number": "714-248-5185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HETEBRINK",
        "first_name": "ISAIAH",
        "middle_name": "SAMUEL",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-08-19",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": "23434",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "164833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Herrera
• Lizeth Montserrat Herrerawatkins
• Phala Herron
• Carl Hess, MD
• Colin Hester
• Shirin Heydari, PA
• Lucia Heye, IMF
• Eloisa Magali Hickman
• Karina Hidalgo
• Luis Angel Hidalgo

• Marriage & Family Therapist in Fullerton, CA
• Providers in Fullerton, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; 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.