Individual provider Active NPI

Karla Heredia, LMFT

  • Marriage & Family Therapist
  • City of Industry, CA
National Provider Identifier
1689098501
Registry record updated Apr 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT 92394 Issued in CA
Practice address
13200 Crossroads Pkwy N Ste 335
City of Industry, CA 91746-3485
Phone
(562) 821-1491
NPI assigned
Feb 12, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2023

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 73225 CA
Marriage & Family Therapist 106H00000X LMFT 92394 CA Primary

Addresses

Primary practice location

13200 Crossroads Pkwy N Ste 335
City of Industry, CA 91746-3485

Mailing address

13200 Crossroads Pkwy N Ste 335
City of Industry, CA 91746-3485
Phone (562) 821-1491

Other identifiers 3

IdentifierTypeStateIssuer
73225OtherCACALIFORNIA BOARD OF BEHAVIORAL SERVICES
92394OtherCALICENSED MARRIAGE AND FAMILY THERAPIST
LMFT 92394OtherCACALIFORNIA BOARD OF BEHAVIORAL SCIENCES

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LMFT 92394CAMDMarriage & Family Therapist
73225CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Heredia Family Therapy, Inc CurrentSince Apr 30, 2023 Accepting new patients
Heredia Family Therapy, Inc Marriage & Family Therapist CurrentSince Apr 30, 2023 Accepting new patients

Locations

13200 Crossroads Pkwy N
Ste 335
City of Industry, CA 91746
Phone (562) 556-1493

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1392163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682640000000",
    "number": "1689098501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13200 CROSSROADS PKWY N STE 335",
            "city": "CITY OF INDUSTRY",
            "state": "CA",
            "postal_code": "917463485",
            "telephone_number": "562-821-1491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13200 CROSSROADS PKWY N STE 335",
            "city": "CITY OF INDUSTRY",
            "state": "CA",
            "postal_code": "917463485",
            "telephone_number": "562-821-1491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEREDIA",
        "first_name": "KARLA",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-12",
        "last_updated": "2023-04-28",
        "certification_date": "2023-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "73225",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT 92394",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA BOARD OF BEHAVIORAL SERVICES",
            "identifier": "73225",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED MARRIAGE AND FAMILY THERAPIST",
            "identifier": "92394",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA BOARD OF BEHAVIORAL SCIENCES",
            "identifier": "LMFT 92394",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in City of Industry, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2023; 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.