JIMMIE HERRON CADC-CAS
NPI 1104377308
Counselor - Addiction (Substance Use Disorder) in Lake Elsinore, CA

Q: What is Jimmie Herron's NPI number?

The NPI number for Jimmie Herron is 1104377308. It was assigned to this individual provider in the NPPES registry on October 23, 2016.

Q: What is Jimmie Herron's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Jimmie Herron was last updated on October 23, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 23, 2016

29452 ROCK POINT DR, LAKE ELSINORE, CA 92530(323) 315-2742 Get Directions Write a Review

NPPES record last updated: October 23, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Jimmie Herron Cadc-cas NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JIMMIE HERRON CADC-CAS (NPI 1104377308) is an individual addiction (substance use disorder) provider in Lake Elsinore, California, licensed in California (C038500816) and active in the NPI registry since October 2016.

NPPES Registry Identity

NPI1104377308

Entity TypeIndividualMale

Primary Taxonomy101YA0400X

Provider Legal NameJIMMIE HERRONCredential: CADC-CAS

Location Address29452 ROCK POINT DRLake Elsinore, CA 92530-7272

Mailing Address29452 Rock Point DrLake Elsinore, CA 92530-7272 · (323) 315-2742

Phone(323) 315-2742

Sole ProprietorYes

Enumeration DateOctober 23, 2016

✔ NPI 1104377308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in CA · C038500816

29452 ROCK POINT DR, Lake Elsinore, CA 92530

Open in Google Maps ↗

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jimmie Herron's NPI number?

The NPI number for Jimmie Herron is 1104377308. It was assigned to this individual provider in the NPPES registry on October 23, 2016.

Where is Jimmie Herron located?

Jimmie Herron practices at 29452 Rock Point Dr, Lake Elsinore, CA 92530. The listed phone number is (323) 315-2742.

What is Jimmie Herron's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Jimmie Herron was last updated on October 23, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.