Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kipenzi M Herron

Individual provider Mental Health Counselor · NPI 1124806583

Kipenzi M Herron is a Mental Health Counselor in San Diego, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2023
Specialties on file
3

Practice location Address checks out

500 W Harbor Dr Unit 110
San Diego, CA 92101
Phone: (858) 247-2331
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence LMFT154306 (CA)
Mental Health Counselor Taxonomy 101YM0800X · Licence LMFT154306 (CA)
Mental Health Counselor Taxonomy 101YM0800X · Licence 141076 (CA)

Record details

NPI number1124806583
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 18, 2023
Last updated in NPPESApril 22, 2025
Certification dateSeptember 18, 2023

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