Organization Active NPI

J Herschberger LLC

  • Marriage & Family Therapist
  • Carmel, IN
National Provider Identifier
1033714910
Registry record updated Dec 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
J HERSCHBERGER LLC
Practice address
600 E Carmel Dr Ste 131
Carmel, IN 46032-3051
Phone
(317) 695-5302
Fax
(317) 669-9739
NPI assigned
Dec 1, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2022

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

Authorized official

Name
Jennifer K Herschberger, MSNPI 1841598083
Title
LMFT/Owner
Phone
(317) 695-5392

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

600 E Carmel Dr Ste 131
Carmel, IN 46032-3051

Mailing address

600 E Carmel Dr Ste 131
Carmel, IN 46032-3051
Phone (317) 695-5302

Other names 1

  • Blue Oak Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

600 E Carmel Dr
Ste 131
Carmel, IN 46032
Phone (317) 695-5302

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1606780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672012800000",
    "number": "1033714910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 E CARMEL DR STE 131",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460323051",
            "telephone_number": "317-695-5302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 E CARMEL DR STE 131",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460323051",
            "telephone_number": "317-695-5302",
            "fax_number": "317-669-9739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J HERSCHBERGER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-01",
        "last_updated": "2022-12-26",
        "certification_date": "2022-12-26",
        "status": "A",
        "authorized_official_last_name": "HERSCHBERGER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "LMFT/OWNER",
        "authorized_official_telephone_number": "317-695-5392",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blue Oak Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Blue Oak Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carmel, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2022; 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.