Individual provider Active NPI

Kimberly Ophelia Herrera, LMFT

  • Marriage & Family Therapist
  • Fresno, CA
National Provider Identifier
1588048995
Registry record updated Apr 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT116058 Issued in CA
Practice address
1478 W. Shaw Ave.
Fresno, CA 93711-3607
Phone
(559) 449-3419
Fax
(877) 396-3157
NPI assigned
Jul 15, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 116058 CA
Marriage & Family Therapist 106H00000X LMFT116058 CA Primary

Addresses

Primary practice location

1478 W. Shaw Ave.
Fresno, CA 93711-3607

Mailing address

306 E Lansing Way
Fresno, CA 93704-4106
Phone (209) 480-9553

Other practice location 1

7225 N 1st St
Suite 101
Fresno, CA 93720-2986
Phone (559) 221-8100

Other practice location 2

306 E Lansing Way
Fresno, CA 93704-4106
Phone (209) 480-9553

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
I20260121001729 CA Practitioner - Marriage and Family Therapist 5799262754 Practice locations: Fresno, CA

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Fresno, CA 93704
Phone (209) 480-9553

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LMFT116058CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Central Valley Wellness Center PastSince May 1, 2020 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1436918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617926400000",
    "number": "1588048995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 E LANSING WAY",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937044106",
            "telephone_number": "209-480-9553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1478 W. SHAW AVE.",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937113607",
            "telephone_number": "559-449-3419",
            "fax_number": "877-396-3157"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7225 N 1st St",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937202986",
            "country_code": "US",
            "telephone_number": "559-221-8100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "306 E Lansing Way",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937044106",
            "country_code": "US",
            "telephone_number": "209-480-9553",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERRERA",
        "first_name": "KIMBERLY",
        "middle_name": "OPHELIA",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-15",
        "last_updated": "2021-04-09",
        "certification_date": "2021-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "116058",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT116058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.