Individual provider Active NPI

Magdalena Hernandez, MSW

  • Counselor
  • Goshen, IN
National Provider Identifier
1295499440
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
34011466A Issued in IN
Practice address
2606 Peddlers Village Rd
Goshen, IN 46526-1004
Phone
(574) 534-3300
NPI assigned
Oct 25, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 34011466A IN Primary

Addresses

Primary practice location

2606 Peddlers Village Rd
Goshen, IN 46526-1004

Mailing address

1644 S Brookfield St
South Bend, IN 46613-1202
Phone (574) 850-7145

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250327002314 IN Practitioner - Clinical Social Worker 8224551551 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34011466AINMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Maple City Health Care Center, Inc CurrentSince Jan 2, 2025 Accepting new patients
Maple City Health Care Center, Inc. CurrentSince Jan 2, 2025 Accepting new patients

Locations

213 Middlebury St
Goshen, IN 46528
Phone (574) 534-0088

808 N 3rd St
Goshen, IN 46528
Phone (574) 534-0088

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1635120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775433600000",
    "number": "1295499440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1644 S BROOKFIELD ST",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466131202",
            "telephone_number": "574-850-7145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2606 PEDDLERS VILLAGE RD",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465261004",
            "telephone_number": "574-534-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "MAGDALENA",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-25",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IN",
            "license": "34011466A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goshen, IN

Sources for this page

Verify at the official NPI Registry.