Active NPI
Sandra Ann Hernandez, LPC
- Professional Counselor
- El Paso, TX
National Provider Identifier
1083949994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 63149
- Practice address
- 4651 Cohen Ave BLDG 19
2900 Nations Ave
El Paso, TX 79924-4416 - Phone
- (915) 694-6247
- NPI assigned
- Oct 9, 2009
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 63149 | TX | Primary |
Addresses
Primary practice location
4651 Cohen Ave BLDG 19
2900 Nations Ave
El Paso, TX 79924-4416
Mailing address
4651 Cohen Ave
#192
El Paso, TX 79924-4416
Phone (915) 694-6247
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250616000599 | TX | Practitioner - Mental Health Counselor | 1153832332 | Practice locations: El Paso, TX |
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
Practice addresses (Care Compare)
6048 Hidden Acres Dr
El Paso, TX 79924-2244
Phone (915) 694-6247
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63149 | TX | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332115200000",
"number": "1083949994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4651 COHEN AVE",
"address_2": "#192",
"city": "EL PASO",
"state": "TX",
"postal_code": "799244416",
"telephone_number": "915-694-6247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4651 COHEN AVE BLDG 19",
"address_2": "2900 NATIONS AVE",
"city": "EL PASO",
"state": "TX",
"postal_code": "799244416",
"telephone_number": "915-694-6247"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERNANDEZ",
"first_name": "SANDRA",
"middle_name": "ANN",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-10-09",
"last_updated": "2012-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "63149",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.