Active NPI
Jeannet Hernandez, M.S.
- Marriage & Family Therapist
- San Bernardino, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 53800
- Practice address
- 820 E Gilbert St
San Bernardino, CA 92415-3436 - Phone
- (909) 387-7200
- NPI assigned
- Sep 6, 2007
- Last updated
- Jan 13, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MFTI 54220 | CA | |
| Marriage & Family Therapist | 106H00000X | 53800 | CA | Primary |
Addresses
Primary practice location
820 E Gilbert St
San Bernardino, CA 92415-3436
Mailing address
1908 Business Center Dr
Suite 220
San Bernardino, CA 92408-3436
Phone (909) 890-5950
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFTI 54220 | CA | MD | Mental Health Counselor |
| 53800 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of San Bernardino | Current | Accepting new patients | |
| County of San Bernardino | Current | Accepting new patients | |
| County of San Bernardino | Current | Accepting new patients |
Locations
303 E Vanderbilt Way
Sn Bernrdno, CA 92415
Phone (909) 388-0801
820 E Gilbert St
Sn Bernrdno, CA 92415
Phone (909) 386-8510
Organizations & group practices 3
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.
-
dba Department of Behavioral Health
- Mental Health Clinic/Center (Including Community Mental Health Center)
- San Bernardino, CA
- NPI 1164467023
-
dba Apple Valley Clinic
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Apple Valley, CA
- NPI 1346950904
-
dba Phoenix Community Counseling
- Mental Health Clinic/Center (Including Community Mental Health Center)
- San Bernardino, CA
- NPI 1417168246
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578873600000",
"number": "1467647172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1908 BUSINESS CENTER DR",
"address_2": "SUITE 220",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924083436",
"telephone_number": "909-890-5950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "820 E GILBERT ST",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924153436",
"telephone_number": "909-387-7200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERNANDEZ",
"first_name": "JEANNET",
"credential": "M.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-09-06",
"last_updated": "2020-01-13",
"certification_date": "2020-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "MFTI 54220",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "53800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Bernardino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.