Individual provider Active NPI

Heather Rachelle Byrd, LMFT

  • Marriage & Family Therapist
  • Lake Arrowhead, CA
National Provider Identifier
1265121776
Registry record updated May 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
139119 Issued in CA
Practice address
28380 Larchmont LN
Lake Arrowhead, CA 92352
Phone
(951) 452-5882
NPI assigned
May 2, 2023
Last updated
May 2, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2023

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 139119 CA Primary

Addresses

Primary practice location

28380 Larchmont LN
Lake Arrowhead, CA 92352

Mailing address

PO Box 7051
Riverside, CA 92513-7051
Phone (951) 452-5882

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
I20231211003137 CA Practitioner - Marriage and Family Therapist 8224487640 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PC Marriage & Family Therapist CurrentSince Oct 22, 2024 Accepting new patients
Optum Behavioral Care of California, P.C. CurrentSince Jun 1, 2024 Accepting new patients
Optum Behavioral Care of California, P.C. CurrentSince Jun 1, 2024 Accepting new patients

Locations

2555 E Colorado Blvd
Pasadena, CA 91107
Phone (909) 989-4055

2555 E Colorado Blvd
Ste 101
Pasadena, CA 91107
Phone (909) 898-4055

8300 Utica Ave
Ste 245
Rancho Cucamonga, CA 91730
Phone (909) 989-4055

99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

Organizations & group practices 3

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": "1682985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682985600000",
    "number": "1265121776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7051",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925137051",
            "telephone_number": "951-452-5882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28380 LARCHMONT LN",
            "city": "LAKE ARROWHEAD",
            "state": "CA",
            "postal_code": "92352",
            "telephone_number": "951-452-5882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYRD",
        "first_name": "HEATHER",
        "middle_name": "RACHELLE",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-02",
        "last_updated": "2023-05-02",
        "certification_date": "2023-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "139119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Arrowhead, CA

Sources for this page

Verify at the official NPI Registry.