Active NPI
Mayra Hernandez
- Marriage & Family Therapist
- Los Angeles, CA
National Provider Identifier
1174232318
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 136937
- Practice address
- 1200 Wilshire Blvd Ste 300
Los Angeles, CA 90017-1931 - Phone
- (213) 407-1888
- NPI assigned
- Nov 16, 2022
- Last updated
- Aug 23, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 13029 | CA | |
| Marriage & Family Therapist | 106H00000X | 136937 | CA | Primary |
| Rehabilitation Practitioner | 225400000X | NU |
Addresses
Primary practice location
1200 Wilshire Blvd Ste 300
Los Angeles, CA 90017-1931
Mailing address
1200 Wilshire Blvd Ste 300
Los Angeles, CA 90017-1931
Phone (213) 407-1888
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13029 | CA | MD | Professional Counselor |
| 136937 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692748800000",
"number": "1174232318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 WILSHIRE BLVD STE 300",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900171931",
"telephone_number": "213-407-1888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 WILSHIRE BLVD STE 300",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900171931",
"telephone_number": "213-407-1888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERNANDEZ",
"first_name": "MAYRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-11-16",
"last_updated": "2023-08-23",
"certification_date": "2023-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "13029",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "136937",
"primary": true
},
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.