Odalys Herrera

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

107368 Issued in TX

Practice address

20915 Kingsland Blvd
Katy, TX 77450-5548

Phone

(281) 579-0703

Fax

(281) 398-9719

NPI assigned

Jul 20, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Stone Creek Psychotherapy and Wellness Center

  • Mental Health Counselor
  • Katy, TX
  • NPI 1003009978
  NPD

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

{
    "created_epoch": "1658275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658275200000",
    "number": "1477288652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20915 KINGSLAND BLVD",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774505548",
            "telephone_number": "281-579-0703",
            "fax_number": "281-398-9719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20915 KINGSLAND BLVD",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774505548",
            "telephone_number": "281-579-0703",
            "fax_number": "281-398-9719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRERA",
        "first_name": "ODALYS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-20",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "107368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Heron, PHD
• Ariadna Malena Herrera Avalos
• Daniela C Herrera Correa
• Ayzeeyana Herrera-Dofner
• Ana Ivette Herrera, LMSW
• Shiomara Alejandra Herrera Sr.
• Stephanie Faith Herrera
• Ava Herring
• Sherry A Herring, M. A., LPC
• Herzog Cinco Ranch PC

• Clinical Social Worker in Katy, TX
• Providers in Katy, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.