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JACQUELINE ELIZA HERNANDEZ MHC-LP
NPI 1033705538
Counselor - Addiction (Substance Use Disorder) in New York, NY

Active since December 18, 2020PECOS EnrolledAccepts Medicare Assignment
19 UNION SQ W FL 7, NEW YORK, NY 10003(212) 627-9600 Get Directions Write a Review

NPPES record last updated: December 18, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jacqueline Eliza Hernandez Mhc-lp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACQUELINE ELIZA HERNANDEZ MHC-LP (NPI 1033705538) is an individual addiction (substance use disorder) provider in New York, New York, licensed in New York (100455-01) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1033705538
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameJACQUELINE ELIZA HERNANDEZCredential: MHC-LP
Location Address19 UNION SQ W FL 7New York, NY 10003-3304
Mailing Address1662 Cornelia StRidgewood, NY 11385-4723 · (646) 250-1160
Phone(212) 627-9600
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateDecember 18, 2020
NPPES CertifiedDecember 18, 2020
✔ NPI 1033705538 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in NY · 100455-01
19 UNION SQ W FL 7, New York, NY 10003
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jacqueline Eliza Hernandez Mhc-lp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID941780399
PECOS Enrollment IDI20260216002286
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jacqueline Hernandez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Realization Center, Inc.
Same address
Clinic/Center
19 UNION SQ W, 7TH FLOOR
New York, NY 10003
  • Reassigned Medicare billing, New York enrollment
  • 13 clinicians in this Medicare group
NPI 1699827345 (212) 627-9600

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOAN WELLS
Case Manager/Care Coordinator
19 UNION SQ W FL 7
NEW YORK, NY 10003
New York County (212) 627-9600
TIMOTHY FRANCIS BRENNAN JR.
Counselor (Addiction (Substance Use Disorder))
19 UNION SQ W FL 7
NEW YORK, NY 10003
New York County (212) 627-9600
ESTHER FLAVIEN MHC-LP
Counselor (Mental Health)
19 UNION SQ W FL 7
NEW YORK, NY 10003
New York County (212) 627-9600
DANIEL SMIGIEL MHC
Counselor (Mental Health)
19 UNION SQ W FL 7
NEW YORK, NY 10003
New York County (212) 627-9600
NALENI RAMRUP
Counselor (Mental Health)
19 UNION SQ W FL 7
NEW YORK, NY 10003
New York County (212) 627-9600
PETER STAUBS
Peer Specialist
19 UNION SQ W FL 7
NEW YORK, NY 10003
New York County (212) 627-9600
MS. JENNIFER AKUNNA IHEDIOHA NP
Nurse Practitioner (Psychiatric/Mental Health)
19 UNION SQ W FL 7
NEW YORK, NY 10003
New York County (212) 627-9600
RACHEL ALLIE GREENBAUM PA: NCCPA ID 1208210
Physician Assistant
19 UNION SQ W FL 7
NEW YORK, NY 10003
New York County (212) 627-9600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacqueline Hernandez's NPI number?

The NPI number for Jacqueline Hernandez is 1033705538. It was assigned to this individual provider in the NPPES registry on December 18, 2020.

Where is Jacqueline Hernandez located?

Jacqueline Hernandez practices at 19 Union Sq W Fl 7, New York, NY 10003. The listed phone number is (212) 627-9600.

What is Jacqueline Hernandez's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Jacqueline Hernandez enrolled in Medicare?

Yes. Jacqueline Hernandez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Jacqueline Hernandez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Hernandez reassigns Medicare benefits to Realization Center, Inc. (New York, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jacqueline Hernandez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jacqueline Hernandez was last updated on December 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.