Individual provider Active NPI

William Roberts Herkelrath

  • Marriage & Family Therapist
  • Mill Valley, CA
National Provider Identifier
1902472301
Registry record updated Nov 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT20107 Issued in CA
Practice address
1038 Redwood Hwy Frontage Rd Ste 1
Mill Valley, CA 94941-1620
Phone
(801) 562-4484
NPI assigned
May 27, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 25, 2024

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 LMFT20107 CA Primary

Addresses

Primary practice location

1038 Redwood Hwy Frontage Rd Ste 1
Mill Valley, CA 94941-1620

Mailing address

1038 Redwood Hwy Frontage Rd Ste 1
Mill Valley, CA 94941-1620

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
LMFT20107CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Thoughtful Family Therapy Centers a Professional Corporation Marriage & Family Therapist CurrentSince Nov 16, 2021 Accepting new patients

Locations

1038 Redwood Hwy Frontage Rd
Ste 1
Mill Valley, CA 94941
Phone (415) 635-5494

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": "1622073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732492800000",
    "number": "1902472301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1038 REDWOOD HWY FRONTAGE RD STE 1",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949411620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1038 REDWOOD HWY FRONTAGE RD STE 1",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949411620",
            "telephone_number": "801-562-4484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERKELRATH",
        "first_name": "WILLIAM",
        "middle_name": "ROBERTS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-27",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT20107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mill Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; 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.