Individual provider Active NPI

Kimberly Karen Hernandez, LPC

  • Professional Counselor
  • Houston, TX
National Provider Identifier
1356152789
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
90878 Issued in TX
Practice address
12701 Fielding LN
Houston, TX 77049-2709
Phone
(832) 773-2741
NPI assigned
Jan 15, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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 90878 TX Primary

Addresses

Primary practice location

12701 Fielding LN
Houston, TX 77049-2709

Mailing address

12701 Fielding LN
Houston, TX 77049-2709
Phone (832) 773-2741

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
I20251230000089 TX Practitioner - Mental Health Counselor 1658867668 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Suite 66308
Houston, TX 77266

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
90878TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Community Health Services, Inc CurrentSince Dec 9, 2025 Accepting new patients
Legacy Community Health Services, Inc CurrentSince Dec 9, 2025 Accepting new patients

Locations

3030 North St
Ste 500
Beaumont, TX 77702
Phone (409) 212-1533

13940 Bonham St
Houston, TX 77015
Phone (713) 330-8904

6441 High Star Dr
Houston, TX 77074
Phone (832) 548-5300

14030 Florence Rd
Sugar Land, TX 77498

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": "1736899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1356152789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12701 FIELDING LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770492709",
            "telephone_number": "832-773-2741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12701 FIELDING LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770492709",
            "telephone_number": "832-773-2741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "KIMBERLY",
        "middle_name": "KAREN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-15",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "90878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.