Roberto Hernandez

Individual provider Active NPI Mental Health Counselor · San Jose, CA

NPI 1902279342 · NPPES record last updated Jan 9, 2019

Key facts

NPI
1902279342
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
1887 Monterey Hwy Ste 205
San Jose, CA 95112
Phone
(408) 971-9822
NPI assigned
Nov 6, 2015
Sex
Male
Sole proprietor
Yes

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 and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
The Unity Care Group Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Yes
Counselor 101Y00000X

Addresses

Primary practice location

1887 Monterey Hwy Ste 205
San Jose, CA 95112

Mailing address

1887 Monterey Hwy Ste 205
San Jose, CA 95112-6192
Phone (408) 971-9822

Other practice location 1

1401 Parkmoor Ave Ste 230
San Jose, CA 95126-3407
Phone (408) 971-9822

Other providers in San Jose, CA

All providers in San Jose, CA · Mental Health Counselor in California

Sources for this page

Verify at the official NPI Registry.