Active NPI
Nicholette Hernandez, M.S. LMFT
- Marriage & Family Therapist
- Van Nuys, CA
National Provider Identifier
1619335643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 125740
- Practice address
- 14545 Sherman Cir
Van Nuys, CA 91405-3087 - Phone
- (818) 901-4854
- NPI assigned
- Feb 4, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 73201 | CA | |
| Marriage & Family Therapist | 106H00000X | 109954 | CA | |
| Marriage & Family Therapist | 106H00000X | 125740 | CA | Primary |
Addresses
Primary practice location
14545 Sherman Cir
Van Nuys, CA 91405-3087
Mailing address
8045 Wentworth St
Sunland, CA 91040-2138
Phone (818) 395-4418
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 109954 | CA | MD | Marriage & Family Therapist |
| 125740 | CA | MD | Marriage & Family Therapist |
| 73201 | CA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626912000000",
"number": "1619335643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8045 WENTWORTH ST",
"city": "SUNLAND",
"state": "CA",
"postal_code": "910402138",
"telephone_number": "818-395-4418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14545 SHERMAN CIR",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914053087",
"telephone_number": "818-901-4854"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERNANDEZ",
"first_name": "NICHOLETTE",
"credential": "M.S. LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-02-04",
"last_updated": "2021-07-22",
"certification_date": "2021-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "73201",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "109954",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "125740",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Van Nuys, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.