Active NPI
Maria O Hernandez, MS
- Mental Health Counselor
- Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH18570
- Practice address
- 22790 SW 112TH Ave
Miami, FL 33170-7602 - Phone
- (305) 235-2616
- Fax
- (305) 235-6178
- NPI assigned
- Nov 24, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH18570 | FL | Primary |
Addresses
Primary practice location
22790 SW 112TH Ave
Miami, FL 33170-7602
Mailing address
22790 SW 112TH Ave
Miami, FL 33170-7602
Phone (305) 235-2616
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240215000565 | FL | Practitioner - Mental Health Counselor | 3375987639 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2014
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Agape Network, Inc.
Practice addresses (Care Compare)
22790 SW 112TH Ave
South Florida Jail Ministries Inc
Miami, FL 33170-7602
Phone (305) 235-2616
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH18570 | FL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Agape Network, Inc. | Current | Accepting new patients | |
| Ahn LLC | Current | Accepting new patients | |
| Agape Network, Inc. | Counselor | Current | Accepting new patients |
| True Life Behavioral Network, Inc | Current | Accepting new patients | |
| Universal Mental Center Corp | Current | Accepting new patients |
Locations
3901 NW 79th Ave
Ste 120
Doral, FL 33166
Phone (305) 552-7660
3498 NW 7th St
Miami, FL 33125
Phone (786) 332-2392
22790 SW 112th Ave
Fl Jail
Miami, FL 33170
Phone (305) 235-2616
22790 SW 112th Ave
Miami, FL 33170
Phone (305) 235-2616
13500 SW 88th St
Ste 129
Miami, FL 33186
Phone (786) 628-2530
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Substance Abuse Rehabilitation Facility
- Miami, FL
- NPI 1235736760
-
- Community/Behavioral Health Agency
- Miami, FL
- NPI 1851149512
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606867200000",
"number": "1003213703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22790 SW 112TH AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331707602",
"telephone_number": "305-235-2616",
"fax_number": "305-235-6178"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22790 SW 112TH AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331707602",
"telephone_number": "305-235-2616",
"fax_number": "305-235-6178"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERNANDEZ",
"first_name": "MARIA",
"middle_name": "O",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-11-24",
"last_updated": "2020-12-02",
"certification_date": "2020-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH18570",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.