Individual provider Active NPI

Jennifer K Herschberger, LMFT

  • Marriage & Family Therapist
  • Carmel, IN
National Provider Identifier
1841598083
Registry record updated Dec 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
35001807A Issued in IN
Practice address
600 E Carmel Dr Ste 131
Carmel, IN 46032-3051
Phone
(317) 695-5302
NPI assigned
Mar 12, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 35001807A IN Primary

Addresses

Primary practice location

600 E Carmel Dr Ste 131
Carmel, IN 46032-3051

Mailing address

600 E Carmel Dr Ste 131
Carmel, IN 46032-3051
Phone (317) 695-5302

Other identifiers 1

IdentifierTypeStateIssuer
300044625MedicaidIN

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
35001807AINMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
J Herschberger LLC Marriage & Family Therapist CurrentSince Dec 6, 2022 Accepting new patients
Baume Psychological Services, P.C. PastSince Oct 16, 2012 Accepting new patients

Locations

600 E Carmel Dr
Ste 131
Carmel, IN 46032
Phone (317) 695-5302

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": "1299888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669939200000",
    "number": "1841598083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 E CARMEL DR STE 131",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460323051",
            "telephone_number": "317-695-5302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 E CARMEL DR STE 131",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460323051",
            "telephone_number": "317-695-5302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERSCHBERGER",
        "first_name": "JENNIFER",
        "middle_name": "K",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-12",
        "last_updated": "2022-12-02",
        "certification_date": "2022-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IN",
            "license": "35001807A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300044625",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2022; 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.