Lisa Ivette Hernandez

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

44SCO5157900 Issued in NJ

Practice address

2143 Morris Ave
Suite #4
Union, NJ 07083-6036

Phone

(908) 851-2223

Fax

(908) 851-2772

NPI assigned

Jan 1, 2007

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

Other names 1

• Mrs. Lisa Ivette Hernandez Professional name

Medicare fee-for-service enrollment

Enrolled in NJ

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

Specialty

Clinical Social Worker

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• CHR Behavioral Health Partners, LLC

  • Mental Health Counselor
  • Union, NJ
  • NPI 1699832733
  Medicare reassignment Authorized official
• Diane Stanley LCSW LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Cranford, NJ
  • NPI 1407071673
  NPD (past)

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

{
    "created_epoch": "1167609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407913544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2143 MORRIS AVE",
            "address_2": "SUITE #4",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070836036",
            "telephone_number": "908-851-2223",
            "fax_number": "908-851-2772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2143 MORRIS AVE",
            "address_2": "SUITE #4",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070836036",
            "telephone_number": "908-851-2223",
            "fax_number": "908-851-2772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "LISA",
        "middle_name": "IVETTE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "44SCO5157900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "HERNANDEZ",
            "middle_name": "IVETTE",
            "prefix": "MRS.",
            "credential": "MSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Susan Henninger, PT
• Valencia Henry, LCSW
• Dante Velasquez Henson, OTR/L
• Daryll Adrian Ang Henson, OTD, OTR/L
• Malcolm H Hermele, M.D.
• Tatiana Herr
• Herrera Ortho LLC
• Bertha L Herrera, MA.,CCC-SLP
• Juan Carlos Herrera, MD
• Amanda Nicole Higgins, PT, DPT

• Mental Health Counselor in Union, NJ
• Providers in Union, NJ by specialty
• Mental Health Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.