Individual provider Active NPI

Emily Ann Hernandez, LMHP, CMSW

  • Mental Health Counselor
  • Scottsbluff, NE
National Provider Identifier
1295305290
Registry record updated Jun 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
5676
Practice address
115 W Railway St Ste A114
Scottsbluff, NE 69361-3188
Phone
(308) 635-2800
Fax
(308) 633-2740
NPI assigned
Jun 30, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2042
Mental Health Counselor 101YM0800X 5676 Primary

Addresses

Primary practice location

115 W Railway St Ste A114
Scottsbluff, NE 69361-3188

Mailing address

115 W Railway St Ste A114
Scottsbluff, NE 69361-3188
Phone (308) 635-2800

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

NPI Registry JSON

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

{
    "created_epoch": "1625011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625011200000",
    "number": "1295305290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 W RAILWAY ST STE A114",
            "city": "SCOTTSBLUFF",
            "state": "NE",
            "postal_code": "693613188",
            "telephone_number": "308-635-2800",
            "fax_number": "308-633-2740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 W RAILWAY ST STE A114",
            "city": "SCOTTSBLUFF",
            "state": "NE",
            "postal_code": "693613188",
            "telephone_number": "308-635-2800",
            "fax_number": "308-633-2740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "EMILY",
        "middle_name": "ANN",
        "credential": "LMHP, CMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-30",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": "2042",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": "5676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsbluff, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2021; 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.