Mara Hernandez, L.P.C.

Primary specialty

CounselorTaxonomy code 101Y00000X

License

15728 Issued in TX

Practice address

1105 Whitaker LN
El Paso, TX 79902-2126

Phone

(915) 533-1929

Fax

(877) 587-9452

NPI assigned

Sep 26, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Center for Attachment and Trauma Treatment

  • Counselor
  • El Paso, TX
  • NPI 1528461217
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331683200000",
    "number": "1043301278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 WHITAKER LN",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799022126",
            "telephone_number": "915-533-1929",
            "fax_number": "877-587-9452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 WHITAKER LN",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799022126",
            "telephone_number": "915-533-1929",
            "fax_number": "877-587-9452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "MARA",
        "credential": "L.P.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2012-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "15728",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "028876302",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BXBS",
            "identifier": "7042LC",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Luis David Hernandez Jr., APRN FNP-C
• Magdalena Grace Valdez Hernandez
• Manuel Hernandez Jr., PHARMACIST
• Manuel Hernandez, LPC
• Manuel Jose Hernandez, PHYSICAL THERAPIST
• Maria Concepcion Hernandez, LVN
• Maria Elisa Hernandez, MPAS, PA-C
• Maria Isabel Hernandez, LVN
• Maria Victoria Hernandez, MS-SLP
• Mariana Hernandez

• Counselor in El Paso, TX
• Providers in El Paso, TX by specialty
• Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2012; 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.

Verify at the official NPI Registry.