Active NPI
Mayra Herrera
- Professional Counselor
- Pasadena, CA
National Provider Identifier
1376052811
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2910
- Practice address
- 1520 N Raymond Ave BLDG 2-7
Pasadena, CA 91103-1819 - Phone
- (626) 396-5920
- NPI assigned
- Sep 27, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2910 | CA | Primary |
Addresses
Primary practice location
1520 N Raymond Ave BLDG 2-7
Pasadena, CA 91103-1819
Mailing address
1833 Ackley PL
Monterey Park, CA 91755-4115
Phone (805) 216-4371
Other practice location 1
5849 Crocker St Unit L
Los Angeles, CA 90003-1311
Phone (323) 234-4445 ext. 120
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2910 | CA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pasadena Unified School District | Current | Accepting new patients |
Locations
1520 N Raymond Ave
Bldg 27
Pasadena, CA 91103
Phone (626) 396-5920
Organizations & group practices 1
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.
-
- Local Education Agency (LEA)
- Pasadena, CA
- NPI 1093839607
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614038400000",
"number": "1376052811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1833 ACKLEY PL",
"city": "MONTEREY PARK",
"state": "CA",
"postal_code": "917554115",
"telephone_number": "805-216-4371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1520 N RAYMOND AVE BLDG 2-7",
"city": "PASADENA",
"state": "CA",
"postal_code": "911031819",
"telephone_number": "626-396-5920"
}
],
"practiceLocations": [
{
"address_1": "5849 Crocker St Unit L",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900031311",
"country_code": "US",
"telephone_number": "323-234-4445 x120",
"fax_number": "323-234-4477",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HERRERA",
"first_name": "MAYRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-27",
"last_updated": "2021-02-23",
"certification_date": "2021-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "2910",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.