Organization Active NPI

Hernandez Enterprises, LLC

  • Clinical Social Worker
  • Salina, KS
National Provider Identifier
1174861249
Registry record updated Jan 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LSCSW 4164 Issued in KS
Legal business name
HERNANDEZ ENTERPRISES, LLC
Practice address
215 S Santa Fe Ave
Suite 102
Salina, KS 67401-3980
Phone
(785) 404-6065
NPI assigned
Jan 24, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2013

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

Authorized official

Name
Ms. Teresa E Hernandez, LSCSWNPI 1083665731
Title
Owner/Clinician
Phone
(785) 404-6065

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X LSCSW 4164 KS Primary

Addresses

Primary practice location

215 S Santa Fe Ave
Suite 102
Salina, KS 67401-3980

Mailing address

215 S Santa Fe Ave
Suite 102
Salina, KS 67401-3980

Other names 1

  • Hernandez Counseling Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200501001707 KS Part B Supplier - Clinic/Group Practice 7315378502 Receives reassigned benefits from 1 practitioner
Practice locations: Salina, KS

National Provider Directory

National Provider Directory

Locations

215 S Santa Fe Ave
Ste 102
Salina, KS 67401
Phone (785) 404-6065

336 S Santa Fe Ave
Ste 5
Salina, KS 67401
Phone (785) 404-6065

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1358985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358985600000",
    "number": "1174861249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 S SANTA FE AVE",
            "address_2": "SUITE 102",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674013980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 S SANTA FE AVE",
            "address_2": "SUITE 102",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674013980",
            "telephone_number": "785-404-6065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERNANDEZ ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-24",
        "last_updated": "2013-01-24",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER/CLINICIAN",
        "authorized_official_telephone_number": "785-404-6065",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LSCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "LSCSW 4164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hernandez Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salina, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.