Individual provider Active NPI

Carolynn Anne Herning

  • Addiction (Substance Use Disorder) Counselor
  • Victorville, CA
National Provider Identifier
1376663120
Registry record updated Aug 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Practice address
15447 Anacapa Rd
Suite 200
Victorville, CA 92392-2481
Phone
(760) 245-9446
Fax
(760) 951-8986
NPI assigned
Mar 29, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Primary

Addresses

Primary practice location

15447 Anacapa Rd
Suite 200
Victorville, CA 92392-2481

Mailing address

15447 Anacapa Rd
Suite 200
Victorville, CA 92392-2481
Phone (760) 245-9446

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

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187222400000",
    "number": "1376663120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15447 ANACAPA RD",
            "address_2": "SUITE 200",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923922481",
            "telephone_number": "760-245-9446",
            "fax_number": "760-951-8986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15447 ANACAPA RD",
            "address_2": "SUITE 200",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923922481",
            "telephone_number": "760-245-9446",
            "fax_number": "760-951-8986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNING",
        "first_name": "CAROLYNN",
        "middle_name": "ANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2007-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Victorville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2007; 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.