Individual provider Active NPI

Scheyden Wyatt Herold, LMFT

  • Mental Health Counselor
  • Huntington Beach, CA
National Provider Identifier
1134722374
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
137593 Issued in CA
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

Updated by the provider on Aug 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.
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

Verify at the official NPI Registry.