Individual provider Active NPI

Heather Hernandez, CADC

  • Addiction (Substance Use Disorder) Counselor
  • Paintsville, KY
National Provider Identifier
1083006340
Registry record updated Feb 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
1184 Issued in KY
Practice address
628 Jefferson Ave
Paintsville, KY 41240-1471
Phone
(606) 789-6966
Fax
(606) 789-7466
NPI assigned
Feb 24, 2015
Last updated
Feb 24, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1184 KY Primary

Addresses

Primary practice location

628 Jefferson Ave
Paintsville, KY 41240-1471

Mailing address

628 Jefferson Ave
Paintsville, KY 41240-1471
Phone (606) 789-6966

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, KY, MA, OH4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20231228001679 CT Practitioner - Mental Health Counselor 4981054236 Reassigns benefits to 2 organizations
I20240415002829 KY Practitioner - Mental Health Counselor 4981054236 Reassigns benefits to 1 organization
I20250220001611 MA Practitioner - Mental Health Counselor 4981054236 Reassigns benefits to 1 organization
I20250304003186 OH Practitioner - Mental Health Counselor 4981054236 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pursuecare, LLCGroup PAC ID 4587998927, 26 clinicians

Practice addresses (Care Compare)

306 W Main St
Suite 512
Frankfort, KY 40601-1840
Phone (860) 270-0485

4400 Easton CMNS
Suite 125
Columbus, OH 43219-6223
Phone (860) 270-0485

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24009MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pursuecare Connecticut PC Addiction (Substance Use Disorder) CurrentSince Jan 1, 2024 Accepting new patients
Pai CT PLLC Addiction (Substance Use Disorder) CurrentSince Sep 16, 2024 Accepting new patients
Pursuecare, LLC Addiction (Substance Use Disorder) CurrentSince Jan 1, 2024 Accepting new patients

Locations

101 Centerpoint Dr
Ste 105
Middletown, CT 06457
Phone (860) 245-8553

101 Centerpoint Dr
Ste 221
Middletown, CT 06457

306 W Main St
Ste 512
Frankfort, KY 40601
Phone (860) 215-2295

4010 DuPont Cir
Ste 449
Louisville, KY 40207
Phone (860) 270-0485

155 Federal St
Ste 700
Boston, MA 02110
Phone (469) 466-7420

4400 Easton Cmns
Ste 125
Columbus, OH 43219
Phone (514) 546-1900

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1424736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424736000000",
    "number": "1083006340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "628 JEFFERSON AVE",
            "city": "PAINTSVILLE",
            "state": "KY",
            "postal_code": "412401471",
            "telephone_number": "606-789-6966",
            "fax_number": "606-789-7466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "628 JEFFERSON AVE",
            "city": "PAINTSVILLE",
            "state": "KY",
            "postal_code": "412401471",
            "telephone_number": "606-789-6966",
            "fax_number": "606-789-7466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "HEATHER",
        "credential": "CADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-24",
        "last_updated": "2015-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KY",
            "license": "1184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paintsville, KY

Sources for this page

Verify at the official NPI Registry.