Individual provider Active NPI

Paula S. Hernandez, LPC

  • Professional Counselor
  • San Antonio, TX
National Provider Identifier
1336232263
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
18491 Issued in TX
Practice address
5555 Fredericksburg Rd
Suite 102
San Antonio, TX 78229-3500
Phone
(210) 616-0828
Fax
(210) 616-0829
NPI assigned
Oct 2, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 18491 TX Primary

Addresses

Primary practice location

5555 Fredericksburg Rd
Suite 102
San Antonio, TX 78229-3500

Mailing address

19500 US Highway 281 N
Apt. #1423
San Antonio, TX 78258-7504
Phone (210) 616-0828

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20240215001017 TX Practitioner - Mental Health Counselor 4082058250 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Evidence of Grace Counseling CenterGroup PAC ID 5496198160, 3 clinicians

Practice addresses (Care Compare)

803 Castroville Rd
Suite 134
San Antonio, TX 78237-3148
Phone (210) 436-2339

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18491TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Evidence of Grace Counseling Center CurrentSince Jan 11, 2024 Accepting new patients
Nueva Vida Behavioral Health Associates,Inc Professional Past Accepting new patients
Alamo Area Family & Geriatric Medicine Associates, PA Past Accepting new patients
Evidence of Grace Counseling Center PastSince Jan 11, 2024 Accepting new patients

Locations

803 Castroville Rd
Ste 134
San Antonio, TX 78237
Phone (210) 436-2339

Organizations & group practices 4

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": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336232263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19500 US HIGHWAY 281 N",
            "address_2": "APT. #1423",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782587504",
            "telephone_number": "210-616-0828",
            "fax_number": "210-616-0829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 FREDERICKSBURG RD",
            "address_2": "SUITE 102",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293500",
            "telephone_number": "210-616-0828",
            "fax_number": "210-616-0829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "PAULA",
        "middle_name": "S.",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "18491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.