Individual provider Active NPI

Victoria Lavonne Hernandez, M.A.

  • Mental Health Counselor
  • Oceanside, CA
National Provider Identifier
1427372382
Registry record updated Nov 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC3875 Issued in CA
Practice address
1310 Union Plaza CT Ste 102
Oceanside, CA 92054-5655
Phone
(760) 439-4577
NPI assigned
Mar 22, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC 3875 CA
Mental Health Counselor 101YM0800X LPC3875 CA Primary

Addresses

Primary practice location

1310 Union Plaza CT Ste 102
Oceanside, CA 92054-5655

Mailing address

1310 Union Plaza CT Ste 102
Oceanside, CA 92054-5655
Phone (760) 743-9457

Other practice location 1

169 Saxony Rd Ste 111
Encinitas, CA 92024-6779
Phone (858) 356-2655

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LPC3875CAMDMental Health Counselor
LPC 3875CAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Simply Mindful Counseling Mental Health Current Accepting new patients
Community Research Foundation Inc Past Accepting new patients
Community Research Foundation Inc PastSince Nov 24, 2019 Accepting new patients
Community Research Foundation Inc Past Accepting new patients

Locations

169 Saxony Rd
Ste 111
Encinitas, CA 92024
Phone (760) 278-8934

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": "1269216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574035200000",
    "number": "1427372382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 UNION PLAZA CT STE 102",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920545655",
            "telephone_number": "760-743-9457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 UNION PLAZA CT STE 102",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920545655",
            "telephone_number": "760-439-4577"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "169 Saxony Rd Ste 111",
            "address_purpose": "LOCATION",
            "city": "Encinitas",
            "state": "CA",
            "postal_code": "920246779",
            "country_code": "US",
            "telephone_number": "858-356-2655",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "VICTORIA",
        "middle_name": "LAVONNE",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-22",
        "last_updated": "2019-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "LPC 3875",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "LPC3875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2019; 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.