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JESSIE HEREDIA
NPI 1184445108
Counselor - Addiction (Substance Use Disorder) in Glendale, CA

Active since October 22, 2024
4544 SAN FERNANDO RD STE 201, GLENDALE, CA 91204(866) 989-1195 Get Directions Write a Review

NPPES record last updated: October 22, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jessie Heredia NPPES

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

JESSIE HEREDIA (NPI 1184445108) is an individual addiction (substance use disorder) provider in Glendale, California and active in the NPI registry since October 2024.

NPPES Registry Identity

NPI1184445108
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameJESSIE HEREDIA
Location Address4544 SAN FERNANDO RD STE 201Glendale, CA 91204-5015
Mailing Address4544 San Fernando Rd Ste 201Glendale, CA 91204-5015 · (866) 989-1195
Phone(866) 989-1195
Sole ProprietorYes
Enumeration DateOctober 22, 2024
NPPES CertifiedOctober 22, 2024
✔ NPI 1184445108 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
4544 SAN FERNANDO RD STE 201, Glendale, CA 91204
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Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ABRAHAM FLORES
Counselor (Addiction (Substance Use Disorder))
4544 SAN FERNANDO RD STE 201
GLENDALE, CA 91204
Los Angeles County (818) 240-8843
BIANCA SANCHEZ
Counselor (Addiction (Substance Use Disorder))
4544 SAN FERNANDO RD STE 201
GLENDALE, CA 91204
Los Angeles County (818) 240-8843
DANYELLE CARRIER
Licensed Vocational Nurse
4544 SAN FERNANDO RD STE 201
GLENDALE, CA 91204
Los Angeles County (818) 240-8843
KRISTINE TERPANOSYAN
Counselor (Addiction (Substance Use Disorder))
4544 SAN FERNANDO RD STE 201
GLENDALE, CA 91204
Los Angeles County (818) 240-8843
DINDO RIMANDO BERNARDINO LVN
Licensed Vocational Nurse
4544 SAN FERNANDO RD STE 201
GLENDALE, CA 91204
Los Angeles County (818) 240-8843
LARISA KAZARIAN
Counselor (Addiction (Substance Use Disorder))
4544 SAN FERNANDO RD STE 201
GLENDALE, CA 91204
Los Angeles County (818) 240-8843
BLAKE FISHEL
Counselor (Addiction (Substance Use Disorder))
4544 SAN FERNANDO RD STE 201
GLENDALE, CA 91204
Los Angeles County (818) 240-8843
MR. RICKY REYNALDO REYES II
Counselor (Addiction (Substance Use Disorder))
4544 SAN FERNANDO RD STE 201
GLENDALE, CA 91204
Los Angeles County (818) 240-8843

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 Jessie Heredia's NPI number?

The NPI number for Jessie Heredia is 1184445108. It was assigned to this individual provider in the NPPES registry on October 22, 2024.

Where is Jessie Heredia located?

Jessie Heredia practices at 4544 San Fernando Rd Ste 201, Glendale, CA 91204. The listed phone number is (866) 989-1195.

What is Jessie Heredia'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 Jessie Heredia was last updated on October 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.