Heather Connors Herbert, SUDRC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

SUDRC14092 Issued in CA

Practice address

14715 E Highway 20
Clearlake Oaks, CA 95423

Phone

(707) 998-1800

NPI assigned

Oct 17, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Heather Herbert Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Hilltop Recovery Services

  • Substance Abuse Rehabilitation Facility
  • Clearlake Oaks, CA
  • NPI 1578866323
  NPD (past)

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

{
    "created_epoch": "1665964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665964800000",
    "number": "1386360782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 316",
            "city": "LUCERNE",
            "state": "CA",
            "postal_code": "954580316",
            "telephone_number": "707-274-5610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14715 E HIGHWAY 20",
            "city": "CLEARLAKE OAKS",
            "state": "CA",
            "postal_code": "95423",
            "telephone_number": "707-998-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNORS HERBERT",
        "first_name": "HEATHER",
        "credential": "SUDRC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-17",
        "last_updated": "2022-10-17",
        "certification_date": "2022-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "SUDRC14092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "HERBERT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Tiffany Fawn Boggs
• Cynthia Dell Caires, RN
• Cierra Elizabeth Canfield, SUDRCI
• Clearlake Oaks Fire Protection District
• Christopher William Cline
• County of Lake
• Breanna Raquelle Cruz
• Celia M Drill, B.A., M.F.A., BCBA
• Charlene Jean Duncan
• East Lake Elementary

• Addiction (Substance Use Disorder) Counselor in Clearlake Oaks, CA
• Providers in Clearlake Oaks, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.