Individual provider Active NPI

Jesus Eduardo Hernandez, LMHC

  • Professional Counselor
  • Las Cruces, NM
National Provider Identifier
1780283697
Registry record updated Dec 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
CTB-2023-0953 Issued in NM
Practice address
999 W Amador Ave Ste a
Las Cruces, NM 88005-2739
Phone
(575) 527-5482
Fax
(575) 652-4243
NPI assigned
Oct 21, 2020
Last updated
Dec 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X CTB-2023-0953 NM Primary

Addresses

Primary practice location

999 W Amador Ave Ste a
Las Cruces, NM 88005-2739

Mailing address

PO Box 2243
Las Cruces, NM 88004-2243
Phone (575) 527-5482

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240118003530 NM Practitioner - Mental Health Counselor 2668824210 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Amador Health Center, Inc.Group PAC ID 0244501633, 9 clinicians

Practice addresses (Care Compare)

999 W Amador Ave a
Las Cruces, NM 88005-2739
Phone (575) 527-5482

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Amador Health Center, Inc. CurrentSince Dec 12, 2023 Accepting new patients
Amador Health Center, Inc. CurrentSince Dec 12, 2023 Accepting new patients

Locations

999 W Amador Ave
Ste A
Las Cruces, NM 88005
Phone (575) 527-5482

Interoperability endpoints

  • Direct secure messaging: jesus.hernandez.p1@direct.ahc.nextgenshare.com

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": "1603238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701907200000",
    "number": "1780283697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2243",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880042243",
            "telephone_number": "575-527-5482",
            "fax_number": "575-652-4243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 W AMADOR AVE STE A",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880052739",
            "telephone_number": "575-527-5482",
            "fax_number": "575-652-4243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "JESUS",
        "middle_name": "EDUARDO",
        "name_prefix": "Mr.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-21",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "CTB-2023-0953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

Verify at the official NPI Registry.