Active NPI
Cindy Hernandez-Real, LCDC
- Addiction (Substance Use Disorder) Counselor
- Tyler, TX
National Provider Identifier
1487995155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 104 Jordan Plaza Blvd
Suite 402 & 403
Tyler, TX 75704-2055 - Phone
- (903) 581-9472
- Fax
- (903) 234-0862
- NPI assigned
- Mar 6, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | TX | Primary |
Addresses
Primary practice location
104 Jordan Plaza Blvd
Suite 402 & 403
Tyler, TX 75704-2055
Mailing address
PO Box 6800
Longview, TX 75608-6800
Phone (903) 758-2471
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1362528000000",
"number": "1487995155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6800",
"city": "LONGVIEW",
"state": "TX",
"postal_code": "756086800",
"telephone_number": "903-758-2471",
"fax_number": "903-234-0862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 JORDAN PLAZA BLVD",
"address_2": "SUITE 402 & 403",
"city": "TYLER",
"state": "TX",
"postal_code": "757042055",
"telephone_number": "903-581-9472",
"fax_number": "903-234-0862"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERNANDEZ-REAL",
"first_name": "CINDY",
"name_prefix": "Mrs.",
"credential": "LCDC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-03-06",
"last_updated": "2013-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "TX",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tyler, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.