Individual provider Active NPI

Manuel Hernandez-Martinez

  • Mental Health Counselor
  • Hobart, IN
National Provider Identifier
1669163416
Registry record updated May 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
1265 S Lake Park Ave Ste B
Hobart, IN 46342-5961
Phone
(219) 323-3311
NPI assigned
May 15, 2023
Last updated
May 15, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

1265 S Lake Park Ave Ste B
Hobart, IN 46342-5961

Mailing address

557 Locust St Apt 4
Valparaiso, IN 46383-6308

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pillars of Wellness CurrentSince Nov 18, 2025 Accepting new patients
Pillars of Wellness Mental Health PastSince May 21, 2023 Accepting new patients

Locations

1265 S Lake Park Ave
#B
Hobart, IN 46342

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1684108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684108800000",
    "number": "1669163416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "557 LOCUST ST APT 4",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463836308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1265 S LAKE PARK AVE STE B",
            "city": "HOBART",
            "state": "IN",
            "postal_code": "463425961",
            "telephone_number": "219-323-3311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ-MARTINEZ",
        "first_name": "MANUEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-15",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hobart, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; 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.