Ruyman David Hernandez, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH61210868 Issued in WA

Practice address

1633 SW Kelly Ave
Chehalis, WA 98532-3822

Phone

(360) 524-1469

NPI assigned

Oct 15, 2021

Sex

Male

Sole proprietor

No

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.

• Drago Tree Counseling, LLC

  • Mental Health Counselor
  • Chehalis, WA
  • NPI 1629759451

  Mental Health, WA

  Medicare reassignment NPD Authorized official

Medicare fee-for-service enrollment

Enrolled in WA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 28, 2023.

{
    "created_epoch": "1634256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677542400000",
    "number": "1811650930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 903",
            "city": "CHEHALIS",
            "state": "WA",
            "postal_code": "985320903",
            "telephone_number": "360-524-1469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1633 SW KELLY AVE",
            "city": "CHEHALIS",
            "state": "WA",
            "postal_code": "985323822",
            "telephone_number": "360-524-1469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "RUYMAN",
        "middle_name": "DAVID",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-15",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH61210868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paula Renee Heitkemper, LMP
• Heidi Mae Hendrickson, CO61594980
• Stephen D Hennessey, MD
• Daniel Henricksen, D.D.S, M.S.
• Daria Hernandez, CDPT
• Shawna Marie Herriford, PHARMD
• Sara Jeanne Hess, MPT
• Lisa Annamarie Higuera, CNA
• Wendy Margaret Hill, CO
• Sherry Angelea Hitch, CDPT

• All providers in Chehalis, WA
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.