Individual provider Active NPI

Christine Hernando, LMHC

  • Mental Health Counselor
  • Riverview, FL
National Provider Identifier
1437619814
Registry record updated Mar 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH15635 Issued in FL
Practice address
12012 Boyette Rd
Riverview, FL 33569-5631
Phone
(813) 605-3979
NPI assigned
Mar 22, 2019
Last updated
Mar 22, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH15635 FL Primary

Addresses

Primary practice location

12012 Boyette Rd
Riverview, FL 33569-5631

Mailing address

3716 Hollow Wood Dr
Valrico, FL 33596-6356
Phone (813) 545-7806

Other practice location 1

3716 Hollow Wood Dr
Valrico, FL 33596-6356
Phone (813) 545-7806

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

State licenses

LicenseStateTypeSpecialty
MH15635FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Thin Line Counseling LLC Mental Health CurrentSince Mar 6, 2022 Accepting new patients

Locations

1423 Oakfield Dr
Brandon, FL 33511
Phone (813) 695-3467

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1553212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553212800000",
    "number": "1437619814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3716 HOLLOW WOOD DR",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335966356",
            "telephone_number": "813-545-7806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12012 BOYETTE RD",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335695631",
            "telephone_number": "813-605-3979"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3716 Hollow Wood Dr",
            "address_purpose": "LOCATION",
            "city": "Valrico",
            "state": "FL",
            "postal_code": "335966356",
            "country_code": "US",
            "telephone_number": "813-545-7806",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERNANDO",
        "first_name": "CHRISTINE",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-22",
        "last_updated": "2019-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH15635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverview, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.