Individual provider Active NPI

Angelica M Hernandez

  • Mental Health Counselor
  • Weston, FL
National Provider Identifier
1871158899
Registry record updated May 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH25661 Issued in FL
Practice address
1760 Bell Tower LN Ste 201
Weston, FL 33326-3694
Phone
(954) 684-2915
NPI assigned
May 6, 2019
Last updated
May 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Mental Health Counselor 101YM0800X MH25661 FL Primary

Addresses

Primary practice location

1760 Bell Tower LN Ste 201
Weston, FL 33326-3694

Mailing address

9440 W Flagler St Apt 303
Miami, FL 33174-2041
Phone (786) 925-1982

Other identifiers 1

IdentifierTypeStateIssuer
2112OtherNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20250708004590 FL Practitioner - Mental Health Counselor 2567976996 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH25661FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Full Circle Therapy LLC Mental Health CurrentSince Apr 25, 2025 Accepting new patients

Locations

1760 Bell Tower Ln
Ste 201
Weston, FL 33326
Phone (954) 684-2915

Organizations & group practices 1

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": "1557100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748131200000",
    "number": "1871158899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9440 W FLAGLER ST APT 303",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331742041",
            "telephone_number": "786-925-1982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1760 BELL TOWER LN STE 201",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333263694",
            "telephone_number": "954-684-2915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "ANGELICA",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-06",
        "last_updated": "2025-05-25",
        "certification_date": "2025-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH25661",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NA",
            "identifier": "2112",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Weston, FL

Sources for this page

Verify at the official NPI Registry.