Tabatha Hernandez, CADC II

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

A043271216 Issued in CA

Practice address

508 Mendocino CT
Atwater, CA 95301-4230

Phone

(209) 357-5269

NPI assigned

Dec 10, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Community Social Model Advocates, Inc.

  • Substance Abuse Rehabilitation Facility
  • Atwater, CA
  • NPI 1871794909
  NPD (past)
• David J. Riordan'S Hobie House

  • Substance Abuse Rehabilitation Facility
  • Merced, CA
  • NPI 1861820029
  NPD (past)
• Rose Julia Riordan Tranquility Village

  • Substance Abuse Rehabilitation Facility
  • Atwater, CA
  • NPI 1578881595
  NPD (past)
• Tranquility Village Recovery

  • Substance Abuse Rehabilitation Facility
  • Atwater, CA
  • NPI 1174860555
  NPD (past)

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

{
    "created_epoch": "1418169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679356800000",
    "number": "1396143160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 MENDOCINO CT",
            "city": "ATWATER",
            "state": "CA",
            "postal_code": "953014230",
            "telephone_number": "209-357-5269",
            "fax_number": "209-357-5269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 MENDOCINO CT",
            "city": "ATWATER",
            "state": "CA",
            "postal_code": "953014230",
            "telephone_number": "209-357-5269"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "559 Mendocino Ct",
            "address_purpose": "LOCATION",
            "city": "Atwater",
            "state": "CA",
            "postal_code": "953014230",
            "country_code": "US",
            "telephone_number": "209-357-5200",
            "fax_number": "209-357-5279",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1299 Yosemite Pkwy",
            "address_purpose": "LOCATION",
            "city": "Merced",
            "state": "CA",
            "postal_code": "953405265",
            "country_code": "US",
            "telephone_number": "209-722-6335",
            "fax_number": "209-722-6371",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "TABATHA",
        "credential": "CADC II",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-10",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "A043271216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Michelle Hernandez
• Carina Hernandez
• Edgar Hernandez
• Natalie Hernandez
• Stephanie Hernandez
• Diana Herrera
• Jessica Herrera
• Karla Herrera
• Stephen Hillyer
• Tony Hillyer

• Addiction (Substance Use Disorder) Counselor in Atwater, CA
• Providers in Atwater, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.

Verify at the official NPI Registry.