Individual provider Active NPI

M Pilar Hernandez-Wolfe, LMFT

  • Marriage & Family Therapist
  • Portland, OR
National Provider Identifier
1447589866
Registry record updated Apr 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
T0971 Issued in OR
Practice address
1725 SE Tenino St
Portland, OR 97202-6751
Phone
(443) 220-3755
NPI assigned
Dec 14, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X T0971 OR Primary
Professional Counselor 101YP2500X LC 3278 MD

Addresses

Primary practice location

1725 SE Tenino St
Portland, OR 97202-6751

Mailing address

1725 SE Tenino St
Portland, OR 97202-6751
Phone (443) 220-3755

Other identifiers 1

IdentifierTypeStateIssuer
014240441AAOtherORREGENCE

Other names 1

  • Dr. Pilar Hernandez Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 19, 2024 through Mar 19, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LC 3278MDMDProfessional Counselor
T0971ORMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Hernandezwolfe Marriage & Family Therapist Current Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1260748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427932800000",
    "number": "1447589866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 SE TENINO ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972026751",
            "telephone_number": "443-220-3755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 SE TENINO ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972026751",
            "telephone_number": "443-220-3755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ-WOLFE",
        "first_name": "M PILAR",
        "name_prefix": "Dr.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-14",
        "last_updated": "2015-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OR",
            "license": "T0971",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC 3278",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "014240441AA",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PILAR",
            "last_name": "HERNANDEZ",
            "prefix": "DR.",
            "credential": "LCPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.