Individual provider Active NPI

Eric A Herrera

  • Marriage & Family Therapist
  • Laguna Hills, CA
National Provider Identifier
1568106359
Registry record updated Apr 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
23181 La Cadena Dr Ste 103104
Laguna Hills, CA 92653-1479
Phone
(760) 500-3325
Fax
(442) 266-2571
NPI assigned
Apr 26, 2022
Last updated
Apr 26, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2022

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 Primary

Addresses

Primary practice location

23181 La Cadena Dr Ste 103104
Laguna Hills, CA 92653-1479

Mailing address

3150 Pio Pico Dr Ste 105
Carlsbad, CA 92008-1951
Phone (760) 500-3325

Other identifiers 1

IdentifierTypeStateIssuer
131649OtherCALICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240528000232 CA Practitioner - Marriage and Family Therapist 1052753746 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

3150 Pio Pico Dr
Suite 105
Carlsbad, CA 92008-1951
Phone (760) 500-3325

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wave Professional Clinical Counselors, Inc. Marriage & Family Therapist CurrentSince Apr 10, 2024 Accepting new patients

Locations

3150 Pio Pico Dr
Ste 105
Carlsbad, CA 92008
Phone (760) 828-5300

23181 La Cadena Dr
Ste 101
Laguna Hills, CA 92653
Phone (949) 347-5234

314 S Melrose Dr
Ste 100
Vista, CA 92081
Phone (619) 752-4745

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, 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": "1650931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650931200000",
    "number": "1568106359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3150 PIO PICO DR STE 105",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920081951",
            "telephone_number": "760-500-3325",
            "fax_number": "442-266-2571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23181 LA CADENA DR STE 103104",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926531479",
            "telephone_number": "760-500-3325",
            "fax_number": "442-266-2571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRERA",
        "first_name": "ERIC",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-04-26",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "131649",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Hills, CA

Sources for this page

Verify at the official NPI Registry.