Active NPI
Fred Z Hernandez Jr., LPC, LMFT
- Professional Counselor
- San Antonio, TX
National Provider Identifier
1790791499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 7398
- Practice address
- 2300 W Commerce St
Suite 107
San Antonio, TX 78207-3839 - Phone
- (210) 227-2707
- Fax
- (210) 225-7751
- NPI assigned
- Aug 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 7398 | TX | Primary |
| Marriage & Family Therapist | 106H00000X | 4110 | TX |
Addresses
Primary practice location
2300 W Commerce St
Suite 107
San Antonio, TX 78207-3839
Mailing address
2300 W Commerce St
Suite 107
San Antonio, TX 78207-3839
Phone (210) 227-2707
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 155788601 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7398 | TX | MD | Professional Counselor |
| 4110 | TX | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489622400000",
"number": "1790791499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2300 W COMMERCE ST",
"address_2": "SUITE 107",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782073839",
"telephone_number": "210-227-2707",
"fax_number": "210-225-7751"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 W COMMERCE ST",
"address_2": "SUITE 107",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782073839",
"telephone_number": "210-227-2707",
"fax_number": "210-225-7751"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERNANDEZ",
"first_name": "FRED",
"middle_name": "Z",
"name_suffix": "Jr.",
"credential": "LPC, LMFT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-01",
"last_updated": "2017-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "7398",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "TX",
"license": "4110",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "155788601",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.