Carlos Hernandez

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

37PC00495400 Issued in NJ

Practice address

730 Broad St Ste 2
Clifton, NJ 07013-1643

Phone

(973) 207-5043

NPI assigned

Feb 7, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Counseling for Wellness

  • Adult Mental Health Clinic/Center
  • Clifton, NJ
  • NPI 1134761372
  NPD (past) Authorized official

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

{
    "created_epoch": "1549497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549497600000",
    "number": "1043775695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 LENNON PL",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070133325",
            "telephone_number": "973-207-5043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 BROAD ST STE 2",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070131643",
            "telephone_number": "973-207-5043"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "730 Broad St Ste 2",
            "address_purpose": "LOCATION",
            "city": "Clifton",
            "state": "NJ",
            "postal_code": "070131643",
            "country_code": "US",
            "telephone_number": "973-207-5043",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "730 Broad St Ste 2",
            "address_purpose": "LOCATION",
            "city": "Clifton",
            "state": "NJ",
            "postal_code": "070131643",
            "country_code": "US",
            "telephone_number": "973-207-5043",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "730 Broad St Ste 2",
            "address_purpose": "LOCATION",
            "city": "Clifton",
            "state": "NJ",
            "postal_code": "070131643",
            "country_code": "US",
            "telephone_number": "973-207-5043",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "CARLOS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-02-07",
        "last_updated": "2019-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00495400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joy C Hein, RPH
• Kelly Helm, DPT
• Suzanne Hemeda, LAC
• Christine Kim Henckel, LAC
• James Hennig, R.PH.
• Haniel Hernandez, DPT
• Leticia Hernandez
• Lucy Hernandez
• Marybel Hernandez, L.C.S.W.
• Xenia Giannina Hernandez

• Professional Counselor in Clifton, NJ
• Providers in Clifton, NJ by specialty
• Professional Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.