Individual provider Active NPI

Jorge Luis Hernandez Jr., LPC

  • Professional Counselor
  • Brownsville, TX
National Provider Identifier
1932770039
Registry record updated Jul 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
81454 Issued in TX
Practice address
1534 E 6TH St Ste 102
Brownsville, TX 78520-7239
Phone
(956) 275-3232
Fax
(956) 338-2994
NPI assigned
Jul 8, 2021
Last updated
Jul 8, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 81454 TX Primary

Addresses

Primary practice location

1534 E 6TH St Ste 102
Brownsville, TX 78520-7239

Mailing address

1534 E 6TH St Ste 102
Brownsville, TX 78520-7239
Phone (956) 275-3232

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

LicenseStateTypeSpecialty
81454TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mandala Counseling & Trauma Therapy Center LLC Professional CurrentSince Oct 5, 2021 Accepting new patients

Locations

1534 E 6th St
Ste 102
Brownsville, TX 78520
Phone (956) 275-3232

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": "1625702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625702400000",
    "number": "1932770039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1534 E 6TH ST STE 102",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785207239",
            "telephone_number": "956-275-3232",
            "fax_number": "956-338-2994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1534 E 6TH ST STE 102",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785207239",
            "telephone_number": "956-275-3232",
            "fax_number": "956-338-2994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "JORGE",
        "middle_name": "LUIS",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-08",
        "last_updated": "2021-07-08",
        "certification_date": "2021-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "81454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownsville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.