Adriana Elena Carrera Hernandez
Individual provider Active NPI Mental Health Counselor · Northfield, IL
NPI 1801518709 · NPPES record last updated Oct 22, 2024
Key facts
- NPI
- 1801518709
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 1779 Maple St
Northfield, IL 60093-3011 - Phone
- (224) 505-5678
- NPI assigned
- Sep 16, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- The Josselyn Center NFP
Practice addresses (Care Compare)
1135 Skokie Blvd
Northbrook, IL 60062-4118
Phone (847) 441-5600
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260302001566 | IL | Practitioner - Mental Health Counselor | 0749762524 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Josselyn Center NFP | Current |
Accepting new patients | |
| The Josselyn Center NFP | Psychologist | Current |
Accepting new patients |
Locations
1135 Skokie Blvd
Northbrook, IL 60062
Phone (773) 430-3351
405 Central Ave
Northfield, IL 60093
Phone (847) 441-5603
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
1779 Maple St
Northfield, IL 60093-3011
Mailing address
1779 Maple St
Northfield, IL 60093-3011
Other providers in Northfield, IL
- Danielle Carleton
- Carol Carpenter
- Morgan Carpenter
- Katherine Sheppard Carrane
- Monica Carrasco
- Megan M Carrick
- Spencer P Carrol
- Jacqueline Carruth
- Jennifer Castro
- Giancarlo Marc Cecchini
All providers in Northfield, IL · Mental Health Counselor in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 22, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.