Active NPI
Kristina Judith Hernandez, LMHC
- Mental Health Counselor
- Miramar, FL
National Provider Identifier
1235371097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH6250
- Practice address
- 2200 SW 118TH Ave
Miramar, FL 33025-5654 - Phone
- (305) 206-2553
- NPI assigned
- Mar 25, 2009
- Last updated
- Mar 28, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPC012945 | GA | |
| Mental Health Counselor | 101YM0800X | |||
| Mental Health Counselor | 101YM0800X | MH6250 | FL | Primary |
Addresses
Primary practice location
2200 SW 118TH Ave
Miramar, FL 33025-5654
Mailing address
2200 SW 118TH Ave
Miramar, FL 33025-5654
Phone (305) 206-2553
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LPC012945 | Other | GA | GEORGIA LICENSE# |
| MH6250 | Other | FL | FLORIDA LICENSE # |
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 |
|---|---|---|---|
| MH6250 | FL | MD | Mental Health Counselor |
| LPC012945 | GA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Helping Hearts Counseling Services | Mental Health | Current | Accepting new patients |
| Advance Health and Community Services Corporation | Single Specialty | Past | Accepting new patients |
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.
-
- Mental Health Counselor
- Miramar, FL
- NPI 1386391589
-
- Community/Behavioral Health Agency
- Pembroke Pines, FL
- NPI 1255758876
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679961600000",
"number": "1235371097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2200 SW 118TH AVE",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "330255654",
"telephone_number": "305-206-2553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 SW 118TH AVE",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "330255654",
"telephone_number": "305-206-2553"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERNANDEZ",
"first_name": "KRISTINA",
"middle_name": "JUDITH",
"name_prefix": "Ms.",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-03-25",
"last_updated": "2023-03-28",
"certification_date": "2023-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "GA",
"license": "LPC012945",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH6250",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GEORGIA LICENSE#",
"identifier": "LPC012945",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA LICENSE #",
"identifier": "MH6250",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Miramar, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.