Individual provider Active NPI

Deandrea Rene' McIver Hernandez, LPC

  • Professional Counselor
  • Robinson, TX
National Provider Identifier
1477252351
Registry record updated May 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0022095 Issued in CO
Practice address
1089 Downsville Rd
Robinson, TX 76706-7195
Phone
(720) 772-8111
NPI assigned
Feb 28, 2023
Last updated
May 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 0020457 CO
Professional Counselor 101YP2500X 0022095 CO Primary

Addresses

Primary practice location

1089 Downsville Rd
Robinson, TX 76706-7195

Mailing address

1089 Downsville Rd
Robinson, TX 76706-7195
Phone (720) 772-8111

Other names 1

  • Deandrea Rene' McIver Hernandez Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0020457COMDCounselor
0022095COMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Illuminated Consulting Solutions, LLC CurrentSince Aug 3, 2025 Accepting new patients
Colorado Therapy & Assessment Center PastSince Mar 1, 2023 Accepting new patients

Organizations & group practices 2

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": "1677542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746489600000",
    "number": "1477252351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1089 DOWNSVILLE RD",
            "city": "ROBINSON",
            "state": "TX",
            "postal_code": "767067195",
            "telephone_number": "720-772-8111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1089 DOWNSVILLE RD",
            "city": "ROBINSON",
            "state": "TX",
            "postal_code": "767067195",
            "telephone_number": "720-772-8111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCIVER HERNANDEZ",
        "first_name": "DEANDREA",
        "middle_name": "RENE'",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-28",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CO",
            "license": "0020457",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "0022095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEANDREA",
            "last_name": "MCIVER HERNANDEZ",
            "middle_name": "RENE'",
            "credential": "LPC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Robinson, TX

Sources for this page

Verify at the official NPI Registry.