Individual provider Active NPI

Rosiceli Hernandez, LPC

  • Counselor
  • Dallas, TX
National Provider Identifier
1508155912
Registry record updated Feb 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
63114 Issued in TX
Practice address
15800 Seagoville Rd
Dallas, TX 75253-5703
Phone
(214) 266-3150
NPI assigned
Apr 6, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 63114 TX Primary
Professional Counselor 101YP2500X

Addresses

Primary practice location

15800 Seagoville Rd
Dallas, TX 75253-5703

Mailing address

2052 Rosebury LN
Forney, TX 75126-0917
Phone (469) 469-7447

Other practice location 1

3960 Broadway Blvd Ste 2205
Garland, TX 75043-2593
Phone (469) 469-7447

Other identifiers 1

IdentifierTypeStateIssuer
101YP2500XMedicaidTX

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

State licenses

LicenseStateTypeSpecialty
63114TXMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1302048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550707200000",
    "number": "1508155912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2052 ROSEBURY LN",
            "city": "FORNEY",
            "state": "TX",
            "postal_code": "751260917",
            "telephone_number": "469-469-7447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15800 SEAGOVILLE RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752535703",
            "telephone_number": "214-266-3150"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3960 Broadway Blvd Ste 2205",
            "address_purpose": "LOCATION",
            "city": "Garland",
            "state": "TX",
            "postal_code": "750432593",
            "country_code": "US",
            "telephone_number": "469-469-7447",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "ROSICELI",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-06",
        "last_updated": "2019-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "63114",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101YP2500X",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.