Individual provider Active NPI

Dylan Cimbura-Hernandez

  • Marriage & Family Therapist
  • Eureka, CA
National Provider Identifier
1548741689
Registry record updated Nov 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
120829 Issued in CA
Practice address
517 3Rd St Ste 33
Eureka, CA 95501-0460
Phone
(707) 335-9521
NPI assigned
Aug 27, 2018
Last updated
Nov 26, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2025

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 120829 CA Primary

Addresses

Primary practice location

517 3Rd St Ste 33
Eureka, CA 95501-0460

Mailing address

18 Minette LN
Eureka, CA 95503-8534
Phone (818) 669-3517

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
120829CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dylan Cimbura-Hernandez Licensed Marriage and Family Therapist #120829 Marriage & Family Therapist CurrentSince May 21, 2023 Accepting new patients
Wellnest Emotional Health & Wellness PastSince Aug 1, 2021 Accepting new patients

Locations

2625 Wilson St
Eureka, CA 95503
Phone (707) 407-8200

Organizations & group practices 2

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": "1535328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764115200000",
    "number": "1548741689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 MINETTE LN",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955038534",
            "telephone_number": "818-669-3517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 3RD ST STE 33",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955010460",
            "telephone_number": "707-335-9521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIMBURA-HERNANDEZ",
        "first_name": "DYLAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-27",
        "last_updated": "2025-11-26",
        "certification_date": "2025-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "120829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eureka, CA

Sources for this page

Verify at the official NPI Registry.