Active NPI
Sylvia Mellisa Hernandez, CADCII ICADC
- Addiction (Substance Use Disorder) Counselor
- Riverside, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- A057400620
- Practice address
- 4000 Orange St
Riverside, CA 92501-3613 - Phone
- (951) 824-0580
- NPI assigned
- Jul 8, 2008
- Last updated
- Mar 3, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CA | ||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CI16720518 | CA | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 330015CN | CA | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | A057400620 | CA | Primary |
| Case Manager/Care Coordinator | 171M00000X | A057400620 | CA |
Addresses
Primary practice location
4000 Orange St
Riverside, CA 92501-3613
Mailing address
3236 Washington St
Riverside, CA 92504-4533
Phone (951) 824-0580
Other practice location 1
8310 Baxter Way
Riverside, CA 92504-4302
Phone (951) 689-9366
Other practice location 2
17270 Roosevelt St
Riverside, CA 92508
Other practice location 3
17270 Roosevelt St
Riverside, CA 92508
Other practice location 4
18612 Santa Ana Ave
Bloomington, CA 92316-2639
Phone (909) 421-7120 ext. 156
Other practice location 5
1889 W Redlands Blvd Bldg 9
Redlands, CA 92373
Phone (909) 501-5167
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33352 | Other | CA | DRUG MEDI-CAL |
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 |
|---|---|---|---|
| 330015CN | CA | MD | Addiction (Substance Use Disorder) Counselor |
| A057400620 | CA | MD | Addiction (Substance Use Disorder) Counselor |
| CI16720518 | CA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ywca Born Free | Addiction (Substance Use Disorder) | Past | Accepting new patients |
| Mfi Recovery Center | Past | Accepting new patients | |
| Aegis Treatment Centers, LLC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Methadone Clinic
- Redlands, CA
- NPI 1992219646
-
- Substance Abuse Rehabilitation Facility
- Riverside, CA
- NPI 1881059525
-
- Addiction (Substance Use Disorder) Counselor
- Riverside, CA
- NPI 1841358561
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740960000000",
"number": "1881857944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3236 WASHINGTON ST",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925044533",
"telephone_number": "951-824-0580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4000 ORANGE ST",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925013613",
"telephone_number": "951-824-0580"
}
],
"practiceLocations": [
{
"address_1": "8310 Baxter Way",
"address_purpose": "LOCATION",
"city": "Riverside",
"state": "CA",
"postal_code": "925044302",
"country_code": "US",
"telephone_number": "951-689-9366",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "17270 Roosevelt St",
"address_purpose": "LOCATION",
"city": "Riverside",
"state": "CA",
"postal_code": "92508",
"country_code": "US",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "17270 Roosevelt St",
"address_purpose": "LOCATION",
"city": "Riverside",
"state": "CA",
"postal_code": "92508",
"country_code": "US",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "18612 Santa Ana Ave",
"address_purpose": "LOCATION",
"city": "Bloomington",
"state": "CA",
"postal_code": "923162639",
"country_code": "US",
"telephone_number": "909-421-7120 x156",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1889 W Redlands Blvd Bldg 9",
"address_purpose": "LOCATION",
"city": "Redlands",
"state": "CA",
"postal_code": "92373",
"country_code": "US",
"telephone_number": "909-501-5167",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HERNANDEZ",
"first_name": "SYLVIA",
"middle_name": "MELLISA",
"credential": "CADCII ICADC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-08",
"last_updated": "2025-03-03",
"certification_date": "2025-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "CI16720518",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "330015CN",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "A057400620",
"primary": true
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "CA",
"license": "A057400620",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DRUG MEDI-CAL",
"identifier": "33352",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.