Individual provider Active NPI

Angela Herron

  • Marriage & Family Therapist
  • Brentwood, CA
National Provider Identifier
1184843039
Registry record updated Sep 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
48437 Issued in CA
Practice address
815 1St St
Suite 4
Brentwood, CA 94513-1177
Phone
(925) 634-2426
NPI assigned
Apr 25, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2010

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 48437 CA Primary

Addresses

Primary practice location

815 1St St
Suite 4
Brentwood, CA 94513-1177

Mailing address

230 Lawrence LN
Brentwood, CA 94513-6338
Phone (925) 634-2426

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
I20250515001145 CA Practitioner - Marriage and Family Therapist 4082132857 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
48437CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Contra Costa County Current Accepting new patients
Contra Costa County CurrentSince May 6, 2025 Accepting new patients
Contra Costa County CurrentSince May 6, 2025 Accepting new patients
Octave Behavioral Health PC Past Accepting new patients

Locations

2335 Country Hills Dr
Antioch, CA 94509
Phone (925) 608-8500

2500 Alhambra Ave
Martinez, CA 94553
Phone (925) 370-5000

2523 El Portal Dr
Ste 206
San Pablo, CA 94806
Phone (510) 215-3730

Organizations & group practices 4

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": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283817600000",
    "number": "1184843039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 LAWRENCE LN",
            "city": "BRENTWOOD",
            "state": "CA",
            "postal_code": "945136338",
            "telephone_number": "925-634-2426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 1ST ST",
            "address_2": "SUITE 4",
            "city": "BRENTWOOD",
            "state": "CA",
            "postal_code": "945131177",
            "telephone_number": "925-634-2426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRON",
        "first_name": "ANGELA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-25",
        "last_updated": "2010-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "48437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, CA

Sources for this page

Verify at the official NPI Registry.