Individual provider Active NPI

Jose Damian Hernandez

  • Clinical Social Worker
  • Houston, TX
National Provider Identifier
1447963350
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
69609 Issued in TX
Practice address
8575 Pitner Rd
Houston, TX 77080-2010
Phone
(713) 462-6565
NPI assigned
Jan 5, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X
Clinical Social Worker 1041C0700X 69609 TX Primary

Addresses

Primary practice location

8575 Pitner Rd
Houston, TX 77080-2010

Mailing address

5502 1St St
Katy, TX 77493-2472
Phone (713) 462-6565

Other practice location 1

5402 Westheimer Rd Ste K
Houston, TX 77056-5302
Phone (713) 877-2479

Other practice location 2

1971 Matilda Gardens Ln
Houston, TX 77089-1132
Phone (713) 820-7085

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230414000597 TX Practitioner - Clinical Social Worker 9638544190 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
69609TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Diagnostic of Texas PLLC Clinical CurrentSince Mar 21, 2024 Accepting new patients
Baylor College of Medicine CurrentSince Mar 1, 2024 Accepting new patients
Blooming Horizons Counseling PLLC Clinical CurrentSince Dec 8, 2024 Accepting new patients
Minuteclinic Diagnostic of Texas PLLC Clinical CurrentSince Mar 21, 2024 Accepting new patients
Dallas Counseling & Psychotherapy PLLC CurrentSince Mar 1, 2023 Accepting new patients
Spring Branch Community Health Center Federally Qualified Health Center (FQHC) Current Accepting new patients
Baylor College of Medicine CurrentSince Mar 1, 2024 Accepting new patients
Spring Branch Community Health Center CurrentSince Mar 13, 2025 Accepting new patients
Spring Branch Community Health Center Federally Qualified Health Center (FQHC) CurrentSince Mar 13, 2025 Accepting new patients
Minuteclinic Telehealth Services of Texas Association Clinical CurrentSince Mar 21, 2024 Accepting new patients

Locations

1540 E Main St
Allen, TX 75002
Phone (214) 383-9765

5526 S Congress Ave
Austin, TX 78745
Phone (512) 310-3190

601 N Industrial Blvd
Bedford, TX 76021
Phone (817) 283-0161

6380 Lyndon B Johnson Fwy
Ste 299
Dallas, TX 75240
Phone (972) 755-0996

1504 Taub Loop
Houston, TX 77030
Phone (713) 873-2860

5402 Westheimer Rd
Ste K
Houston, TX 77056
Phone (713) 877-1479

1615 Hillendahl Blvd
Ste 100
Houston, TX 77055
Phone 7134626565125

8575 Pitner Rd
Houston, TX 77080
Phone (713) 462-6545

19333 Clay Rd
Katy, TX 77449
Phone (713) 462-6555

3103 Fry Rd
Katy, TX 77449
Phone (281) 646-2964

5502 1st St
Katy, TX 77493
Phone 7134626565127

1413 Oates Dr
Mesquite, TX 75150
Phone (972) 613-7001

2712 Highway 365
Nederland, TX 77627
Phone (409) 721-5846

3925 Fairmont Pkwy
Pasadena, TX 77504
Phone (713) 873-6300

9522 Broadway St
Pearland, TX 77584
Phone (713) 436-8151

6860 Dallas Pkwy
Ste 200
Plano, TX 75024
Phone (972) 478-0600

1855 Gattis School Rd
Round Rock, TX 78664
Phone (512) 238-6268

Organizations & group practices 10

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": "1672876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1447963350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5502 1ST ST",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774932472",
            "telephone_number": "713-462-6565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8575 PITNER RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770802010",
            "telephone_number": "713-462-6565"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5402 Westheimer Rd Ste K",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770565302",
            "country_code": "US",
            "telephone_number": "713-877-2479",
            "fax_number": "713-877-1709",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1971 Matilda Gardens Ln",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770891132",
            "country_code": "US",
            "telephone_number": "713-820-7085",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "JOSE",
        "middle_name": "DAMIAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-01-05",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "69609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.