Adrian V Hernandez, CO60692009

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CO60692009 Issued in WA

Practice address

7017 NE Highway 99 Ste 114
Vancouver, WA 98665-0554

Phone

(360) 694-7484

Fax

(360) 694-7479

NPI assigned

Feb 12, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Paprocki-Sims. LLC

  • Community/Behavioral Health Agency
  • Vancouver, WA
  • NPI 1821048869
  NPD (past)

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

{
    "created_epoch": "1581465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581465600000",
    "number": "1194358655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7017 NE HIGHWAY 99 STE 114",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986650554",
            "telephone_number": "360-694-7484",
            "fax_number": "360-694-7479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7017 NE HIGHWAY 99 STE 114",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986650554",
            "telephone_number": "360-694-7484",
            "fax_number": "360-694-7479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "ADRIAN",
        "middle_name": "V",
        "credential": "CO60692009",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-12",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CO60692009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey Elizabeth Herman
• Vickie L Hermann, LICSW, LLC
• Gerald Hermes
• Jennifer D Hermes, PA-C
• Ma. Teresa Hernandez-Martinez, DOULA
• Ashley Hernandez
• Elijah Hernandez
• Emerson Hernandez
• Erica Hernandez
• Fidel Hernandez Jr., ARNP

• Addiction (Substance Use Disorder) Counselor in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Addiction (Substance Use Disorder) Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.