Rochelle Tracie Hernandez, CA

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CP61644865 Issued in WA

Practice address

737 Fawcett Ave
Tacoma, WA 98402-5503

Phone

(253) 396-5800

NPI assigned

Sep 11, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Rochelle Lackey Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Kitsap Mental Health Services

  • Community/Behavioral Health Agency
  • Bremerton, WA
  • NPI 1033268008
  NPD (past)

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

{
    "created_epoch": "1284163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775520000000",
    "number": "1962719948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12812 101ST AVENUE CT E STE 202",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983739103",
            "telephone_number": "253-864-4770",
            "fax_number": "253-864-4771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "737 FAWCETT AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984025503",
            "telephone_number": "253-396-5800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12812 101st Avenue Ct E Ste 202",
            "address_purpose": "LOCATION",
            "city": "Puyallup",
            "state": "WA",
            "postal_code": "983739103",
            "country_code": "US",
            "telephone_number": "253-864-4770",
            "fax_number": "253-864-4771",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6625 Wagner Way Ste 320",
            "address_purpose": "LOCATION",
            "city": "Gig Harbor",
            "state": "WA",
            "postal_code": "983358392",
            "country_code": "US",
            "telephone_number": "253-858-7056",
            "fax_number": "253-858-8028",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1520 NE Riddell Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Bremerton",
            "state": "WA",
            "postal_code": "983103005",
            "country_code": "US",
            "telephone_number": "360-228-2959",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "ROCHELLE",
        "middle_name": "TRACIE",
        "credential": "CA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-11",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP61644865",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "CG61556263",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "B001910425",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROCHELLE",
            "last_name": "LACKEY",
            "credential": "WA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Mauricio Hernandez, RN
• Natasha B Hernandez, PHD
• Nayeli Itzala Hernandez
• Nicholas C Hernandez
• Rafcel Gabriel Hernandez
• Sarah Michelle Hernandez
• Tina Hernandez
• Camilo Hernandezperez, HIS
• Henedine Clark Hernando, ARNP
• Bree Herndon, DNP, CNM, ARNP

• Addiction (Substance Use Disorder) Counselor in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Addiction (Substance Use Disorder) Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2026; 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.