Individual provider Active NPI

Jessica E Heredia

  • Marriage & Family Therapist
  • Sanger, CA
National Provider Identifier
1225436975
Registry record updated Jun 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
AMFT132746 Issued in CA
Practice address
225 Academy Ave
Sanger, CA 93657-2128
Phone
(855) 343-1057
NPI assigned
Dec 11, 2014
Last updated
Jun 6, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X AMFT132746 CA Primary
Case Manager/Care Coordinator 171M00000X

Addresses

Primary practice location

225 Academy Ave
Sanger, CA 93657-2128

Mailing address

225 Academy Ave
Sanger, CA 93657-2128
Phone (855) 343-1057

Other practice location 1

275 S Madera Ave Ste 404
Kerman, CA 93630-1401
Phone (855) 343-1057

Other practice location 2

36618 Lassen Ave
Ste. A
Huron, CA 93234
Phone (855) 343-1057

Other practice location 3

3400 McCall Ave Ste 104
Selma, CA 93662-2560
Phone (855) 343-1057

Other practice location 4

40 E Minarets Ave
Pinedale, CA 93650-1239
Phone (855) 343-1057

Other practice location 5

121 Belmont Ave Ste 300
Mendota, CA 93640-8231
Phone (855) 343-1057

Other practice location 6

380 Coalinga Plz
Coalinga, CA 93210-1704
Phone (855) 343-1057

Other practice location 7

1311 11th St
Reedley, CA 93654-2926
Phone (855) 343-1057

Other identifiers 1

IdentifierTypeStateIssuer
1225436975MedicaidCA

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

State licenses

LicenseStateTypeSpecialty
AMFT132746CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Turning Point of Central California, Inc. Past Accepting new patients
Kenvelo2 Past Accepting new patients
Turning Point of Central California, Inc. Community/Behavioral Health PastSince Aug 2, 2020 Accepting new patients
Turning Point of Central California, Inc. Community/Behavioral Health Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1418256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654473600000",
    "number": "1225436975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 ACADEMY AVE",
            "city": "SANGER",
            "state": "CA",
            "postal_code": "936572128",
            "telephone_number": "855-343-1057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 ACADEMY AVE",
            "city": "SANGER",
            "state": "CA",
            "postal_code": "936572128",
            "telephone_number": "855-343-1057"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "275 S Madera Ave Ste 404",
            "address_purpose": "LOCATION",
            "city": "Kerman",
            "state": "CA",
            "postal_code": "936301401",
            "country_code": "US",
            "telephone_number": "855-343-1057",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "36618 Lassen Ave",
            "address_2": "Ste. A",
            "address_purpose": "LOCATION",
            "city": "Huron",
            "state": "CA",
            "postal_code": "93234",
            "country_code": "US",
            "telephone_number": "855-343-1057",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3400 McCall Ave Ste 104",
            "address_purpose": "LOCATION",
            "city": "Selma",
            "state": "CA",
            "postal_code": "936622560",
            "country_code": "US",
            "telephone_number": "855-343-1057",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "40 E Minarets Ave",
            "address_purpose": "LOCATION",
            "city": "Pinedale",
            "state": "CA",
            "postal_code": "936501239",
            "country_code": "US",
            "telephone_number": "855-343-1057",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "121 Belmont Ave Ste 300",
            "address_purpose": "LOCATION",
            "city": "Mendota",
            "state": "CA",
            "postal_code": "936408231",
            "country_code": "US",
            "telephone_number": "855-343-1057",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "380 Coalinga Plz",
            "address_purpose": "LOCATION",
            "city": "Coalinga",
            "state": "CA",
            "postal_code": "932101704",
            "country_code": "US",
            "telephone_number": "855-343-1057",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1311 11th St",
            "address_purpose": "LOCATION",
            "city": "Reedley",
            "state": "CA",
            "postal_code": "936542926",
            "country_code": "US",
            "telephone_number": "855-343-1057",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEREDIA",
        "first_name": "JESSICA",
        "middle_name": "E",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-11",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "AMFT132746",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1225436975",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanger, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2022; 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.