Individual provider Active NPI

Sandra Antonia Herek, LMFT-RESIDENT

  • Marriage & Family Therapist
  • Franklin, VA
National Provider Identifier
1922618628
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
0717002110 Issued in VA
Practice address
601 N Mechanic St Ste 313
Franklin, VA 23851-1455
Phone
(757) 272-3415
NPI assigned
Aug 6, 2020
Last updated
Aug 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 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 0717002110 VA Primary

Addresses

Primary practice location

601 N Mechanic St Ste 313
Franklin, VA 23851-1455

Mailing address

601 N Mechanic St Ste 313
Franklin, VA 23851-1455
Phone (757) 272-3415

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240913003354 DC Practitioner - Marriage and Family Therapist 3173063336 Reassigns benefits to 1 organization
I20260623002425 VA Practitioner - Marriage and Family Therapist 3173063336 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
From the Desk of Dr. Yancey LLCGroup PAC ID 0042650657, 4 clinicians

Practice addresses (Care Compare)

4897 Bennetts Pasture Rd
Unit 5354
Suffolk, VA 23435-1362
Phone (888) 663-2475

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Marriage & Family Therapist CurrentSince Aug 2, 2024 Accepting new patients
Ignite Best Practices LLC Marriage & Family Therapist CurrentSince Sep 23, 2024 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

601 N Mechanic St
Ste 313
Franklin, VA 23851
Phone (757) 272-3415

8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1596672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1922618628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 N MECHANIC ST STE 313",
            "city": "FRANKLIN",
            "state": "VA",
            "postal_code": "238511455",
            "telephone_number": "757-272-3415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 N MECHANIC ST STE 313",
            "city": "FRANKLIN",
            "state": "VA",
            "postal_code": "238511455",
            "telephone_number": "757-272-3415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEREK",
        "first_name": "SANDRA",
        "middle_name": "ANTONIA",
        "credential": "LMFT-RESIDENT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-06",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "VA",
            "license": "0717002110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, VA

Sources for this page

Verify at the official NPI Registry.