Individual provider Active NPI

Nancy Maria Herzenach

  • Marriage & Family Therapist
  • Simi Valley, CA
National Provider Identifier
1093946089
Registry record updated Oct 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
94576 Issued in CA
Practice address
1687 Erringer Rd
Suite 106
Simi Valley, CA 93065-6508
Phone
(805) 319-7951
NPI assigned
Aug 7, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 94576 CA Primary

Addresses

Primary practice location

1687 Erringer Rd
Suite 106
Simi Valley, CA 93065-6508

Mailing address

1464 Mader Rd. #N Box 119
Simi Valley, CA 93065-3063
Phone (805) 319-7951

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260209002145 CA Practitioner - Marriage and Family Therapist 2062991292 Practice locations: Westlake Village, CA

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1464 Madera Rd N Box
Suite 119
Simi Valley, CA 93065-3083

31324 Via Colinas
Suite 108
Westlake Village, CA 91362-3908

31324 Via Colinas
Suite 108
Westlake Village, CA 91362-6756
Phone (805) 304-8415

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
94576CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lisa Dyck, Licensed Marriage and Family Therapist, Inc. Marriage & Family Therapist PastSince Feb 18, 2024 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1249603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476057600000",
    "number": "1093946089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1464 MADER RD. #N BOX 119",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930653063",
            "telephone_number": "805-319-7951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1687 ERRINGER RD",
            "address_2": "SUITE 106",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930656508",
            "telephone_number": "805-319-7951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERZENACH",
        "first_name": "NANCY",
        "middle_name": "MARIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-07",
        "last_updated": "2016-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "94576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Simi Valley, CA

Sources for this page

Verify at the official NPI Registry.