Individual provider Active NPI

Juan Ramon Herrera, APRN PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Peoria, AZ
National Provider Identifier
1821738170
Registry record updated Apr 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
274083 Issued in AZ
Practice address
14100 N 83Rd Ave
Peoria, AZ 85381-5658
Phone
(623) 523-6600
NPI assigned
Apr 1, 2022
Last updated
Apr 25, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 274083 AZ Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2021185337 AZ

Addresses

Primary practice location

14100 N 83Rd Ave
Peoria, AZ 85381-5658

Mailing address

14100 N 83Rd Ave
Peoria, AZ 85381-5658
Phone (623) 583-0232

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220901001273 AZ Practitioner - Nurse Practitioner 3971987462 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2021185337AZMDPsychiatric/Mental Health Nurse Practitioner
274083AZMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cactus Serenity Behavioral Health Services LLC CurrentSince Apr 20, 2025 Accepting new patients
Partners in Recovery, LLC CurrentSince Jun 8, 2022 Accepting new patients
Partners in Recovery, LLC CurrentSince Jun 8, 2022 Accepting new patients
Neighborhood Outreach Access to Health CurrentSince Oct 30, 2024 Accepting new patients
Cactus Serenity Behavioral Health Services LLC Nurse Practitioner CurrentSince Aug 12, 2024 Accepting new patients
Partners in Recovery, LLC Current Accepting new patients
Neighborhood Outreach Access to Health CurrentSince Oct 30, 2024 Accepting new patients

Locations

11851 N 51st Ave
Ste B110
Glendale, AZ 85304

11851 N 51st Ave
Ste F140
Glendale, AZ 85304
Phone (623) 428-0001

3515 W Union Hills Dr
Ste 114B
Glendale, AZ 85308
Phone (602) 612-3124

924 N Country Club Dr
Mesa, AZ 85201
Phone (480) 696-3800

14100 N 83rd Ave
Ste 100
Peoria, AZ 85381
Phone (623) 583-0232

10240 N 31st Ave
Ste 200
Phoenix, AZ 85051
Phone (602) 395-1700

16251 N Cave Creek Rd
Phoenix, AZ 85032

20440 N 27th Ave
Phoenix, AZ 85027

4131 N 24th St
Ste B102
Phoenix, AZ 85016
Phone (602) 955-6632

7500 N Dreamy Draw Dr
Ste 145
Phoenix, AZ 85020

9015 N 3rd St
Phoenix, AZ 85020

8705 E McDowell Rd
Scottsdale, AZ 85257

Interoperability endpoints

  • Direct secure messaging: jherrera754522@direct.ochin.org

Organizations & group practices 7

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": "1648771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650844800000",
    "number": "1821738170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14100 N 83RD AVE",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853815658",
            "telephone_number": "623-583-0232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14100 N 83RD AVE",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853815658",
            "telephone_number": "623-523-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRERA",
        "first_name": "JUAN",
        "middle_name": "RAMON",
        "credential": "APRN PMHNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-01",
        "last_updated": "2022-04-25",
        "certification_date": "2022-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "274083",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "2021185337",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

Verify at the official NPI Registry.