Individual provider Active NPI

Jacqueline Hernandez

  • Mental Health Counselor
  • Orlando, FL
National Provider Identifier
1881944460
Registry record updated Jun 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH14613 Issued in FL
Practice address
11408 Satire St
Orlando, FL 32832-5214
Phone
(321) 895-4042
NPI assigned
Sep 11, 2012
Last updated
Jun 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH14613 FL Primary

Addresses

Primary practice location

11408 Satire St
Orlando, FL 32832-5214

Mailing address

11408 Satire St
Orlando, FL 32832-5214
Phone (321) 895-4042

Other practice location 1

6150 Metrowest Blvd
103
Orlando, FL 32835-3289
Phone (407) 730-3837

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
I20240201001372 FL Practitioner - Mental Health Counselor 2365895711 Practice locations: Orlando, FL

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH14613FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Setenov Enterprise Corporation Current Accepting new patients
All Around Health and Wellness Past Accepting new patients
Advanced Psychiatric Solutions Incorporated Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: fbh.jacquelinehernandez@141363.advancedmd-direct.com

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1347321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781136000000",
    "number": "1881944460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11408 SATIRE ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328325214",
            "telephone_number": "321-895-4042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11408 SATIRE ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328325214",
            "telephone_number": "321-895-4042"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6150 Metrowest Blvd",
            "address_2": "103",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328353289",
            "country_code": "US",
            "telephone_number": "407-730-3837",
            "fax_number": "407-730-3869",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "JACQUELINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-11",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH14613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.