Vanessa Eloise Hernandez, LISAC LAC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

LISAC15037 Issued in AZ

Practice address

10000 N. 31St Ave.
Applied Behavioral Interventions, PLLC
Phoenix, AZ 85051

Phone

(609) 412-0853

Fax

(602) 595-2511

NPI assigned

May 2, 2016

Last updated

May 2, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Vanessa Eloise Phillips Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1462147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462147200000",
    "number": "1588019145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4108 S. ADELLE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85212",
            "telephone_number": "609-412-0853",
            "fax_number": "602-595-2511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 N. 31ST AVE.",
            "address_2": "APPLIED BEHAVIORAL INTERVENTIONS, PLLC",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85051",
            "telephone_number": "609-412-0853",
            "fax_number": "602-595-2511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "VANESSA",
        "middle_name": "ELOISE",
        "credential": "LISAC LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-02",
        "last_updated": "2016-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "LISAC15037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VANESSA",
            "last_name": "PHILLIPS",
            "middle_name": "ELOISE",
            "credential": "LISAC LAC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Steven Hernandez, DDS
• Sylvia Hernandez, M.S.W., L.C.S.W.
• Taylor Janae Hernandez, CTRS
• Tien-Ching Hernandez, NP-C
• Tiffany Hernandez, LPC
• Whitney Hernandez, RN
• Ximena Hernandez
• Yolanda M Hernandez, DDS
• Heidi N Hernon, RBT
• Ryan Herold, FNP-C

• Addiction (Substance Use Disorder) Counselor in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Addiction (Substance Use Disorder) Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2016; 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.