Stefanianne A Hernandez-Landry, LMHC, CSAC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

778 Issued in HI

Practice address

850 W Hind Dr Ste 116
Honolulu, HI 96821-1845

Phone

(808) 379-6656

NPI assigned

Mar 27, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Stefanianne A Hernandez Former name

Medicare fee-for-service enrollment

Enrolled in HI

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Wellness Partners Hawaii Inc

  • Psychiatric/Mental Health Nurse Practitioner
  • Honolulu, HI
  • NPI 1609382340
  Medicare reassignment NPD
• Wellness Partners Hawaii PHP and Iop, LLC

  • Community/Behavioral Health Agency
  • Honolulu, HI
  • NPI 1033953922
  NPD

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

{
    "created_epoch": "1648339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655683200000",
    "number": "1609526102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7040 HAWAII KAI DR UNIT 26013",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968257041",
            "telephone_number": "808-379-6656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 W HIND DR STE 116",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968211845",
            "telephone_number": "808-379-6656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ-LANDRY",
        "first_name": "STEFANIANNE",
        "middle_name": "A",
        "credential": "LMHC, CSAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-27",
        "last_updated": "2022-06-20",
        "certification_date": "2022-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "HI",
            "license": "3016-21",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "HI",
            "license": "778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEFANIANNE",
            "last_name": "HERNANDEZ",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amy Elisabeth Herchig, B.A., LMT., NCTMB
• Heritage Health Services of Hawaii LLC
• Cynthia Marie Herman
• Lyle Herman
• Andrea Hermosura, PHD
• Anthony Cadiente Hernandez, M.D.
• Antonette Veronica Baxa Hernandez, MD
• Audrey Hernandez
• Carlos Ivan Hernandez
• Christine Hernandez, PSYD

• Mental Health Counselor in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Mental Health Counselor in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2022; 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.