Individual provider Active NPI

Charlotte K. Hernandez, MS, LPC

  • Mental Health Counselor
  • Corpus Christi, TX
National Provider Identifier
1144708801
Registry record updated Aug 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
75866 Issued in TX
Practice address
1630 S Brownlee Blvd
Corpus Christi, TX 78404-3134
Phone
(361) 886-6900
NPI assigned
Aug 3, 2018
Last updated
Aug 3, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 75866 TX Primary

Addresses

Primary practice location

1630 S Brownlee Blvd
Corpus Christi, TX 78404-3134

Mailing address

1630 S Brownlee Blvd
Corpus Christi, TX 78404-3134
Phone (361) 886-6900

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240124001279 TX Practitioner - Mental Health Counselor 7911350129 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
75866TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Nueces County Mental Health & Mental Retardation Community Ctr CurrentSince Jan 1, 2024 Accepting new patients
Nueces County Mental Health & Mental Retardation Community Ctr. Mental Health CurrentSince Jan 1, 2024 Accepting new patients

Locations

1630 S Brownlee Blvd
Corpus Christi, TX 78404
Phone (361) 980-9652

3733 S Port Ave
Corpus Christi, TX 78415
Phone (361) 886-4628

1038 Texas Yes Blvd
Robstown, TX 78380
Phone (361) 767-1200

Organizations & group practices 2

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": "1533254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533254400000",
    "number": "1144708801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 S BROWNLEE BLVD",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784043134",
            "telephone_number": "361-886-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 S BROWNLEE BLVD",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784043134",
            "telephone_number": "361-886-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "CHARLOTTE",
        "middle_name": "K.",
        "credential": "MS, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-03",
        "last_updated": "2018-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "75866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.