Individual provider Active NPI

Juan Pablo Hernandez, GUIDANCE/COUNCELOR

  • Professional Counselor
  • Sunland Park, NM
National Provider Identifier
1457657157
Registry record updated Nov 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
3465 McNutt Rd
Sunland Park, NM 88063-9056
Phone
(575) 915-1338
Fax
(575) 915-1819
NPI assigned
Jan 28, 2011
Last updated
Nov 1, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

3465 McNutt Rd
Sunland Park, NM 88063-9056

Mailing address

3130 Savannah Ave
El Paso, TX 79930-4432
Phone (915) 244-1787

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20240130001682 TX Practitioner - Mental Health Counselor 0143673871 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pupfish LLC Professional CurrentSince Jul 1, 2026 Accepting new patients
Grow Healthcare Group PA Mental Health CurrentSince Mar 19, 2024 Accepting new patients
Vcounselors PLLC Professional CurrentSince Jan 1, 2024 Accepting new patients
Vida Nueva Wellness Center Mental Health Current Accepting new patients
Southwest Psychiatry PLLC CurrentSince May 1, 2024 Accepting new patients
Anchor & Bloom LLC Professional CurrentSince Nov 7, 2025 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

1605 George Dieter Dr
Ste 636
El Paso, TX 79936
Phone (915) 274-1617

7001 Westwind Dr
Ste 108
El Paso, TX 79912
Phone (713) 504-2681

9440 Viscount Blvd
Ste 101
El Paso, TX 79925
Phone (915) 246-7061

700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391

5522 Lone Star Pkwy
Ste 303
San Antonio, TX 78253
Phone (210) 614-4990

Organizations & group practices 6

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": "1296172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698796800000",
    "number": "1457657157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3130 SAVANNAH AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799304432",
            "telephone_number": "915-244-1787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3465 MCNUTT RD",
            "city": "SUNLAND PARK",
            "state": "NM",
            "postal_code": "880639056",
            "telephone_number": "575-915-1338",
            "fax_number": "575-915-1819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "JUAN",
        "middle_name": "PABLO",
        "credential": "GUIDANCE/COUNCELOR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-01-28",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunland Park, NM

Sources for this page

Verify at the official NPI Registry.