Individual provider Active NPI

Clara Anahi Herrera, LMFT 116585

  • Marriage & Family Therapist
  • Orange, CA
National Provider Identifier
1124404025
Registry record updated Jan 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
116585 Issued in CA
Practice address
500 City Pkwy W Ste 200
Orange, CA 92868-2941
Phone
(714) 480-6600
NPI assigned
Aug 4, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2021

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 116585 CA Primary

Addresses

Primary practice location

500 City Pkwy W Ste 200
Orange, CA 92868-2941

Mailing address

505 Utica Ave Apt 3
Huntington Beach, CA 92648-3258
Phone (714) 926-7067

Other names 1

  • Clara Anahi Moreno Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
County of Orange CurrentSince Jan 31, 2021 Accepting new patients

Locations

500 City Pkwy W
Ste 200
Orange, CA 92868
Phone (714) 480-6600

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": "1438646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611705600000",
    "number": "1124404025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 UTICA AVE APT 3",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926483258",
            "telephone_number": "714-926-7067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 CITY PKWY W STE 200",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928682941",
            "telephone_number": "714-480-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRERA",
        "first_name": "CLARA",
        "middle_name": "ANAHI",
        "credential": "LMFT 116585",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-04",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "116585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CLARA",
            "last_name": "MORENO",
            "middle_name": "ANAHI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2021; 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.