Nelson Hernandez, MS,LAC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

37AC00244900 Issued in NJ

Practice address

216 Edgar PL
Elizabeth, NJ 07202-1312

Phone

(908) 468-0791

NPI assigned

Sep 29, 2016

Sex

Male

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

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Psychotherapy Solutions LLC

  • In Home Supportive Care Agency
  • Elizabeth, NJ
  • NPI 1508498437
  NPD Authorized official

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

{
    "created_epoch": "1475107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475107200000",
    "number": "1699224782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 EDGAR PL",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072021312",
            "telephone_number": "908-468-0791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 EDGAR PL",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072021312",
            "telephone_number": "908-468-0791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "NELSON",
        "credential": "MS,LAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-09-29",
        "last_updated": "2016-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37AC00244900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Herawati T Kandou DDS PA
• Allen Herman, LCSW
• Rebecca Sara Herman
• Ivette Hernandez, MD
• Jennifer Hernandez, MD
• Michael Lee Hertz, R.PH.
• High Grounds Pharmacy
• High Touch Meds LLC
• High Touch Pharmacy LLC
• Taisha Michelle Hildebrandt, BA

• Mental Health Counselor in Elizabeth, NJ
• Providers in Elizabeth, NJ by specialty
• Mental Health Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.