Active NPI
Kimberly Jean Herkert, LMFT
- Marriage & Family Therapist
- Eureka, CA
National Provider Identifier
1912040502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 77121
- Practice address
- 2625 Wilson St
Eureka, CA 95503-4829 - Phone
- (707) 498-5201
- NPI assigned
- Feb 14, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 48906 | CA | |
| Marriage & Family Therapist | 106H00000X | 77121 | CA | Primary |
Addresses
Primary practice location
2625 Wilson St
Eureka, CA 95503-4829
Mailing address
843 O St
Fortuna, CA 95540-1932
Phone (707) 498-5201
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 16, 2024 through Apr 16, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 48906 | CA | MD | Oral and Maxillofacial Surgery (Dentist) |
| 77121 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701475200000",
"number": "1912040502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "843 O ST",
"city": "FORTUNA",
"state": "CA",
"postal_code": "955401932",
"telephone_number": "707-498-5201",
"fax_number": "707-623-1717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2625 WILSON ST",
"city": "EUREKA",
"state": "CA",
"postal_code": "955034829",
"telephone_number": "707-498-5201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERKERT",
"first_name": "KIMBERLY",
"middle_name": "JEAN",
"name_prefix": "Ms.",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-14",
"last_updated": "2023-12-02",
"certification_date": "2023-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "48906",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "77121",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eureka, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.