Active NPI
Maya'Nicole Camille Hernandez, AMFT
- Marriage & Family Therapist
- Long Beach, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 106608
- Practice address
- 1501 Hughes Way Ste 150
Long Beach, CA 90810-1878 - Phone
- (310) 221-6336
- NPI assigned
- Sep 20, 2018
- Last updated
- Feb 17, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | AMFT106608 | CA | |
| Marriage & Family Therapist | 106H00000X | 106608 | CA | Primary |
Addresses
Primary practice location
1501 Hughes Way Ste 150
Long Beach, CA 90810-1878
Mailing address
1501 Hughes Way Ste 150
Long Beach, CA 90810-1878
Phone (310) 221-6336
Other practice location 1
3756 Santa Rosalia Dr Ste 424
Los Angeles, CA 90008-3614
Phone (323) 738-4827
Other practice location 2
27200 Tourney Rd Ste 175
Valencia, CA 91355-4990
Phone (661) 705-4670
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AMFT106608 | CA | MD | Mental Health Counselor |
| 106608 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| All for Kids Organization | Current | Accepting new patients |
Locations
27200 Tourney Rd
Ste 175
Valencia, CA 91355
Phone (661) 705-4670
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Valencia, CA
- NPI 1205320009
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613520000000",
"number": "1023592581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 HUGHES WAY STE 150",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908101878",
"telephone_number": "310-221-6336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 HUGHES WAY STE 150",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908101878",
"telephone_number": "310-221-6336"
}
],
"practiceLocations": [
{
"address_1": "3756 Santa Rosalia Dr Ste 424",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900083614",
"country_code": "US",
"telephone_number": "323-738-4827",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "27200 Tourney Rd Ste 175",
"address_purpose": "LOCATION",
"city": "Valencia",
"state": "CA",
"postal_code": "913554990",
"country_code": "US",
"telephone_number": "661-705-4670",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HERNANDEZ",
"first_name": "MAYA'NICOLE",
"middle_name": "CAMILLE",
"credential": "AMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-20",
"last_updated": "2021-02-17",
"certification_date": "2021-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "AMFT106608",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "106608",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.