Individual provider Active NPI

Maira M Hernandez, LMFT

  • Marriage & Family Therapist
  • Fresno, CA
National Provider Identifier
1699355768
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
99813 Issued in CA
Practice address
5151 N Palm Ave Ste 200
Fresno, CA 93704-2221
Phone
(559) 241-8085
Fax
(559) 702-6101
NPI assigned
Apr 12, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 99813 CA Primary

Addresses

Primary practice location

5151 N Palm Ave Ste 200
Fresno, CA 93704-2221

Mailing address

1187 N Willow Ave # 103-880
Clovis, CA 93611-4411
Phone (559) 241-8085

Other identifiers 1

IdentifierTypeStateIssuer
9272042MedicaidCA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address contact@mhfamcc.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 3, 2024 through Jan 3, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
99813CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
M. H. Family Counseling and Consulting, a Professional Corporation Marriage & Family Therapist CurrentSince Oct 23, 2022 Accepting new patients
Central Valley Family Therapy Corp Marriage & Family Therapist PastSince Apr 1, 2021 Accepting new patients

Locations

1187 N Willow Ave
Clovis, CA 93611
Phone (720) 556-8915

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": "1618185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1699355768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1187 N WILLOW AVE # 103-880",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936114411",
            "telephone_number": "559-241-8085",
            "fax_number": "559-702-6101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5151 N PALM AVE STE 200",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937042221",
            "telephone_number": "559-241-8085",
            "fax_number": "559-702-6101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "MAIRA",
        "middle_name": "M",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-12",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "99813",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9272042",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "contact@mhfamcc.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "5151 N Palm Ave Ste 200",
            "city": "Fresno",
            "state": "CA",
            "country_code": "US",
            "postal_code": "937042221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.