Matthew Thomas Hernandez, MSW, JD

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

23931 Highway 99 Ste 102
Edmonds, WA 98026-9259

Phone

(480) 684-4590

NPI assigned

Apr 7, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mateo Hernandez Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Juris Doctor

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

{
    "created_epoch": "1680825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680825600000",
    "number": "1760177463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "532B 24TH AVE S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981442318",
            "telephone_number": "480-684-4590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23931 HIGHWAY 99 STE 102",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980269259",
            "telephone_number": "480-684-4590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "MATTHEW",
        "middle_name": "THOMAS",
        "credential": "MSW, JD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-04-07",
        "last_updated": "2023-04-07",
        "certification_date": "2023-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MATEO",
            "last_name": "HERNANDEZ",
            "credential": "MSW, JD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Kylee Hellstern
• Angela Hendrix, LMP
• J Linn Black Henline, LMP, SAMP
• Keun Her, L.M.P.
• Laura Hernandez
• Javier Herrera, MD
• Sarah Nicole Herrington, ARNP, FNP
• David Herzog, PSY.D.
• Susan Hessel, LMHC, LPC
• Claire Hetkey

• Mental Health Counselor in Edmonds, WA
• Providers in Edmonds, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.