Vivian Herndon, LIMHP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

298 Issued in NE

Practice address

11330 Q St Ste 218
Omaha, NE 68137-3679

Phone

(402) 659-4742

Fax

(531) 466-4960

NPI assigned

Aug 21, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704672000000",
    "number": "1093821365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11330 Q ST STE 218",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681373679",
            "telephone_number": "402-659-4742",
            "fax_number": "531-466-4960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11330 Q ST STE 218",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681373679",
            "telephone_number": "402-659-4742",
            "fax_number": "531-466-4960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNDON",
        "first_name": "VIVIAN",
        "name_prefix": "Ms.",
        "credential": "LIMHP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-21",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "410",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "298",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026194300",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephen V Hernandez
• Tanya Hernandez
• Teialana Hernandez
• Vanessa Hernandez
• Vianney Jeanette Hernandez
• Heroes Home Care of Nebraska
• Carissa Herold, PTA, LMT
• Debra Herold, OTR/L
• George Herold
• Lourdes P Herold

• Mental Health Counselor in Omaha, NE
• Providers in Omaha, NE by specialty
• Mental Health Counselor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.