Active NPI
Helen Hernandez
- Mental Health Counselor
- Portland, OR
National Provider Identifier
1073270674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 6200 SE King Rd
Portland, OR 97222-2891 - Phone
- (503) 473-1732
- NPI assigned
- Nov 18, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 | Primary |
Addresses
Primary practice location
6200 SE King Rd
Portland, OR 97222-2891
Mailing address
10543 E Burnside St Apt 11
Portland, OR 97216-2771
Phone (561) 255-2765
Other practice location 1
10543 E Burnside St Apt 11
Portland, OR 97216-2771
Phone (561) 255-2765
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10282021739021 | Medicaid | OR |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | hhernandez-jimenez@nwfs.org | Direct |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637193600000",
"number": "1073270674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10543 E BURNSIDE ST APT 11",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972162771",
"telephone_number": "561-255-2765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6200 SE KING RD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972222891",
"telephone_number": "503-473-1732"
}
],
"practiceLocations": [
{
"address_1": "10543 E Burnside St Apt 11",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972162771",
"country_code": "US",
"telephone_number": "561-255-2765",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HERNANDEZ",
"first_name": "HELEN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-11-18",
"last_updated": "2021-11-18",
"certification_date": "2021-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10282021739021",
"state": "OR"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "hhernandez-jimenez@nwfs.org",
"affiliation": "N",
"endpointDescription": "hhernandez-jimenez@nwfs.org",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "6200 SE King Rd",
"city": "Portland",
"state": "OR",
"country_code": "US",
"postal_code": "972222891",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.