Active NPI
Melvin Herst, M.A.
- Marriage & Family Therapist
- Long Beach, CA
National Provider Identifier
1841417540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC46763
- Practice address
- 4151 E Fountain St
Long Beach, CA 90804-3023 - Phone
- (562) 595-8111
- Fax
- (562) 595-8148
- NPI assigned
- Apr 20, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFC46763 | CA | Primary |
Addresses
Primary practice location
4151 E Fountain St
Long Beach, CA 90804-3023
Mailing address
4151 E Fountain St
Long Beach, CA 90804-3023
Phone (562) 595-8111
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0056 | Other | CA | SCFFAA EMPLOYEE I.D. |
| 00007300 | Medicaid | CA | |
| SUBC442 | Other | CA | LA DMH PROVIDER |
Other names 1
- Mr. Mel Herst
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC46763 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386288000000",
"number": "1841417540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4151 E FOUNTAIN ST",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908043023",
"telephone_number": "562-595-8111",
"fax_number": "562-595-8148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4151 E FOUNTAIN ST",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908043023",
"telephone_number": "562-595-8111",
"fax_number": "562-595-8148"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERST",
"first_name": "MELVIN",
"name_prefix": "Mr.",
"credential": "M.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-20",
"last_updated": "2013-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC46763",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SCFFAA EMPLOYEE I.D.",
"identifier": "0056",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00007300",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LA DMH PROVIDER",
"identifier": "SUBC442",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MEL",
"last_name": "HERST",
"prefix": "MR.",
"credential": "LMFT",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.