Steven M Hernandez, M,A,T,S, , CADAC II

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CII-2100 Issued in IN

Practice address

8000 Melton Rd
Gary, IN 46403-3114

Phone

(219) 938-4651

Fax

(219) 938-4679

NPI assigned

Aug 16, 2019

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 identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Metro Treatment of Gary LP

  • Methadone Clinic
  • Gary, IN
  • NPI 1841412996
  NPD (past)

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

{
    "created_epoch": "1565913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565913600000",
    "number": "1780230581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8000 MELTON RD",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464033114",
            "telephone_number": "219-938-4651",
            "fax_number": "219-938-4679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 MELTON RD",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464033114",
            "telephone_number": "219-938-4651",
            "fax_number": "219-938-4679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "STEVEN",
        "middle_name": "M",
        "credential": "M,A,T,S, , CADAC II",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-16",
        "last_updated": "2019-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IN",
            "license": "CII-2100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "18414112996",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "steven.hernandez@cmglp.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8000 Melton Rd",
            "city": "Gary",
            "state": "IN",
            "country_code": "US",
            "postal_code": "464033114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Breyonna Henley
• Stephanie J Herald, CAA
• Khaliah Amani Herbert
• Heritage Adult Day Inc
• Martha F. Hernandez, M.D.
• Ladonna Hethington
• India Hicks
• Kenneth Hicks, M.A., LCSW
• Shanell Lithrese Hightower
• Lyrec Hill

• Addiction (Substance Use Disorder) Counselor in Gary, IN
• Providers in Gary, IN by specialty
• Addiction (Substance Use Disorder) Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2019; 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.