Active NPI
Karla Heredia, LMFT
- Marriage & Family Therapist
- City of Industry, CA
National Provider Identifier
1689098501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LMFT 92394
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 73225 | Other | CA | CALIFORNIA BOARD OF BEHAVIORAL SERVICES |
| 92394 | Other | CA | LICENSED MARRIAGE AND FAMILY THERAPIST |
| LMFT 92394 | Other | CA | CALIFORNIA 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
| License | State | Type | Specialty |
|---|---|---|---|
| LMFT 92394 | CA | MD | Marriage & Family Therapist |
| 73225 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heredia Family Therapy, Inc | Current | Accepting new patients | |
| Heredia Family Therapy, Inc | Marriage & Family Therapist | Current | 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.
-
- Marriage & Family Therapist
- City of Industry, CA
- NPI 1326553926
-
- Occupational Therapist
- City of Industry, CA
- NPI 1386380103
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.