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ELISEO ANTONIO HEREDIA JR.
NPI 1821537366
Counselor - Mental Health in Modesto, CA

Active since February 16, 2017
1539 MCHENRY AVE, MODESTO, CA 95350(209) 758-0825 Get Directions Write a Review

NPPES record last updated: December 2, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 2, 2024, Feb 16, 2017 (2 updates tracked since 2017).

About Eliseo Antonio Heredia Jr. NPPES

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

ELISEO ANTONIO HEREDIA JR. (NPI 1821537366) is an individual mental health provider in Modesto, California and active in the NPI registry since February 2017. He maintains a secondary practice location in Modesto.

NPPES Registry Identity

NPI1821537366
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameELISEO ANTONIO HEREDIA JR.
Location Address1539 MCHENRY AVEModesto, CA 95350-4528
Mailing Address3433 W Shaw Ave Ste 108Fresno, CA 93711-3229 · (559) 558-4051
Phone(209) 758-0825
Sole ProprietorNo
Enumeration DateFebruary 16, 2017
Last NPPES UpdateDecember 2, 20242 updates tracked since enumeration
NPPES CertifiedNovember 26, 2024
✔ NPI 1821537366 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1539 MCHENRY AVE, Modesto, CA 95350
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Secondary Practice Location 1

Location 12524 Finney RdModesto, CA 95358-9765 · Phone (209) 550-5858

Other Providers at the Same Location NPPES 20

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

KARISSA LOPEZ MA, LPCC
Counselor (Mental Health)
1539 MCHENRY AVE
MODESTO, CA 95350
Stanislaus County (209) 702-0139
ELIZABETH ISQUIERDO
Case Manager/Care Coordinator
1539 MCHENRY AVE
MODESTO, CA 95350
Stanislaus County (209) 702-0139
ARIANA ARROYO
Peer Specialist
1539 MCHENRY AVE
MODESTO, CA 95350
Stanislaus County (209) 702-0139
FREDA BY
Case Manager/Care Coordinator
1539 MCHENRY AVE
MODESTO, CA 95350
Stanislaus County (209) 702-0139
MS. MORGAN NICOLE RUSHING
Case Manager/Care Coordinator
1539 MCHENRY AVE
MODESTO, CA 95350
Stanislaus County (209) 702-0139
MELYNDA CALDERON
Adult Companion
1539 MCHENRY AVE
MODESTO, CA 95350
Stanislaus County (209) 222-2378
SOPHIA ALEJANDRA ARREOLA
Adult Companion
1539 MCHENRY AVE
MODESTO, CA 95350
Stanislaus County (209) 702-0139
MELISSA ELIZABETH ALVAREZ
Counselor (Professional)
1539 MCHENRY AVE
MODESTO, CA 95350
Stanislaus County (209) 702-0139

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 Eliseo Heredia's NPI number?

The NPI number for Eliseo Heredia is 1821537366. It was assigned to this individual provider in the NPPES registry on February 16, 2017.

Where is Eliseo Heredia located?

Eliseo Heredia practices at 1539 Mchenry Ave, Modesto, CA 95350. The listed phone number is (209) 758-0825.

What is Eliseo Heredia's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Eliseo Heredia was last updated on December 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.