Debra Lynn Hernandez, SUD COUNSELOR

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CI25470618 Issued in CA

Practice address

11201 Constellation Dr
El Cajon, CA 92020

Phone

(619) 847-5174

NPI assigned

Apr 4, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

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.

• McAlister Institute for Treatment & Education, Inc.

  • Substance Use Disorder Rehabilitation Hospital Unit
  • Escondido, CA
  • NPI 1417466848

  Addiction (Substance Use Disorder)

  NPD (past)
• The Constellation

  • Substance Abuse Rehabilitation Facility
  • El Cajon, CA
  • NPI 1902319445
  NPD (past)

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

{
    "created_epoch": "1301875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530057600000",
    "number": "1083903736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E WASHINGTON AVE STE 100",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920251806",
            "telephone_number": "760-741-7708",
            "fax_number": "760-741-5421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11201 CONSTELLATION DR",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "92020",
            "telephone_number": "619-847-5174"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 East Washington Ave #200",
            "address_purpose": "LOCATION",
            "city": "Escondido",
            "state": "CA",
            "postal_code": "92025",
            "country_code": "US",
            "telephone_number": "760-741-7708 x12",
            "fax_number": "760-741-5421",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "550 W Washington Ave",
            "address_purpose": "LOCATION",
            "city": "Escondido",
            "state": "CA",
            "postal_code": "920251643",
            "country_code": "US",
            "telephone_number": "760-708-4060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "DEBRA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "SUD COUNSELOR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-04",
        "last_updated": "2018-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "040877I",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "CI25470618",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1083903736",
            "identifier": "1083903736",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE INSURANCE",
            "identifier": "1083903736",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marc-Philippe Hani Hermes, D.D.S.
• Viktor Hernandez-Mora
• Adriana L Hernandez
• Angel Raul Hernandez
• Caroline Angelica Hernandez
• Iris Crystal Hernandez
• Leilani Francisco Hernandez
• Marissa Lesette Hernandez, MSW
• Paul Michael Hernandez
• Rigoberto Hernandez, MD

• Addiction (Substance Use Disorder) Counselor in El Cajon, CA
• Providers in El Cajon, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2018; 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.