Active NPI
Scheyden Wyatt Herold, LMFT
- Mental Health Counselor
- Huntington Beach, CA
National Provider Identifier
1134722374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 137593
- Practice address
- 5762 Bolsa Ave Ste 107
Huntington Beach, CA 92649-1172 - Phone
- (657) 845-1018
- NPI assigned
- Nov 19, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 122478 | CA | |
| Mental Health Counselor | 101YM0800X | 137593 | CA | Primary |
Addresses
Primary practice location
5762 Bolsa Ave Ste 107
Huntington Beach, CA 92649-1172
Mailing address
16742 Lynn LN Apt D
Huntington Beach, CA 92649-3969
Phone (657) 845-1018
Other practice location 1
3763 Arlington Ave Ste 204
Riverside, CA 92506-2601
Phone (657) 845-1018
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective May 1, 2024 through May 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692144000000",
"number": "1134722374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16742 LYNN LN APT D",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926493969",
"telephone_number": "657-845-1018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5762 BOLSA AVE STE 107",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926491172",
"telephone_number": "657-845-1018"
}
],
"practiceLocations": [
{
"address_1": "3763 Arlington Ave Ste 204",
"address_purpose": "LOCATION",
"city": "Riverside",
"state": "CA",
"postal_code": "925062601",
"country_code": "US",
"telephone_number": "657-845-1018",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HEROLD",
"first_name": "SCHEYDEN",
"middle_name": "WYATT",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-11-19",
"last_updated": "2023-08-16",
"certification_date": "2023-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "122478",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "137593",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Huntington Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.