Individual provider Active NPI

Dalilah Narda Hernandez

  • Counselor
  • Big Bear Lake, CA
National Provider Identifier
1225522667
Registry record updated Nov 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
41945 Big Bear Blvd Ste 221
Big Bear Lake, CA 92315
Phone
(909) 866-5070
Fax
(909) 878-3228
NPI assigned
Jun 19, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Counselor 101Y00000X Primary

Addresses

Primary practice location

41945 Big Bear Blvd Ste 221
Big Bear Lake, CA 92315

Mailing address

41945 Big Bear Blvd Ste 221
Big Bear Lake, CA 92315-2030
Phone (909) 866-5070

Other practice location 1

102 W Main St
San Jacinto, CA 92583-4121
Phone (951) 487-8883 ext. 4105

Other practice location 2

102 W Main St
San Jacinto, CA 92583-4121
Phone (951) 487-8883 ext. 4105

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lutheran Social Services of Southern California Mental Health CurrentSince Nov 17, 2019 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1529366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573776000000",
    "number": "1225522667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41945 BIG BEAR BLVD STE 221",
            "city": "BIG BEAR LAKE",
            "state": "CA",
            "postal_code": "923152030",
            "telephone_number": "909-866-5070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41945 BIG BEAR BLVD STE 221",
            "city": "BIG BEAR LAKE",
            "state": "CA",
            "postal_code": "92315",
            "telephone_number": "909-866-5070",
            "fax_number": "909-878-3228"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "102 W Main St",
            "address_purpose": "LOCATION",
            "city": "San Jacinto",
            "state": "CA",
            "postal_code": "925834121",
            "country_code": "US",
            "telephone_number": "951-487-8883 x4105",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "102 W Main St",
            "address_purpose": "LOCATION",
            "city": "San Jacinto",
            "state": "CA",
            "postal_code": "925834121",
            "country_code": "US",
            "telephone_number": "951-487-8883 x4105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "DALILAH",
        "middle_name": "NARDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-19",
        "last_updated": "2019-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Big Bear Lake, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2019; 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.