Kelly S. Hernandez, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

110008 Issued in CA

Practice address

1660 Humboldt Rd Ste 3
Chico, CA 95928-9199

Phone

(530) 410-0505

NPI assigned

Mar 3, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1267574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1528381696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 NEW DAWN CIR STE 3",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959286811",
            "telephone_number": "530-828-5799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1660 HUMBOLDT RD STE 3",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959289199",
            "telephone_number": "530-410-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "KELLY",
        "middle_name": "S.",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-03",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "110008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail Kathrine Hernandez, LCSW
• Amanda V Hernandez, M.S
• Beth Hernandez
• Cristina Fabiola Hernandez, LMFT 115932
• Gladys Hernandez, LMFT
• Maria Hernandez
• Michael Norman Hernandez, P.T.
• Brian Herr
• Gimi Raye Herren
• Isaac Dino Herrera

• Marriage & Family Therapist in Chico, CA
• Providers in Chico, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.

Verify at the official NPI Registry.