Individual provider Active NPI

Kaori Herrera

  • Marriage & Family Therapist
  • Santa Cruz, CA
National Provider Identifier
1902354293
Registry record updated Sep 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
AMFT94960 Issued in CA
Practice address
735 Chestnut St Ste C
Santa Cruz, CA 95060
Phone
(831) 996-1222
Fax
(831) 417-0443
NPI assigned
Sep 14, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2018

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 AMFT94960 CA Primary

Addresses

Primary practice location

735 Chestnut St Ste C
Santa Cruz, CA 95060

Mailing address

735 Chestnut St Ste C
Santa Cruz, CA 95060-3759
Phone (831) 996-1222

Other practice location 1

550 Water St
C3
Santa Cruz, CA 95060-4124
Phone (831) 246-0069

Other practice location 2

255A E Lake Ave
Watsonville, CA 95076-4717
Phone (831) 996-1222

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
AMFT94960CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
New Perspectives Center for Counseling Marriage & Family Therapist Past Accepting new patients

Organizations & group practices 1

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": "1473811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536192000000",
    "number": "1902354293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 CHESTNUT ST STE C",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950603759",
            "telephone_number": "831-996-1222",
            "fax_number": "831-417-0443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 CHESTNUT ST STE C",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "95060",
            "telephone_number": "831-996-1222",
            "fax_number": "831-417-0443"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 Water St",
            "address_2": "C3",
            "address_purpose": "LOCATION",
            "city": "Santa Cruz",
            "state": "CA",
            "postal_code": "950604124",
            "country_code": "US",
            "telephone_number": "831-246-0069",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "255A E Lake Ave",
            "address_purpose": "LOCATION",
            "city": "Watsonville",
            "state": "CA",
            "postal_code": "950764717",
            "country_code": "US",
            "telephone_number": "831-996-1222",
            "fax_number": "831-417-0443",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERRERA",
        "first_name": "KAORI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-14",
        "last_updated": "2018-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "AMFT94960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Cruz, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2018; 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.