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CASSIDY LAYNE HERNANDEZ
NPI 1063293132
Counselor - Mental Health in Detroit, MI

Active since October 13, 2023PECOS Enrolled
11150 EAST JEFFERSON, DETROIT, MI 48214(517) 894-8020 Get Directions Write a Review

NPPES record last updated: October 13, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Cassidy Layne Hernandez NPPES

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

CASSIDY LAYNE HERNANDEZ (NPI 1063293132) is an individual mental health provider in Detroit, Michigan, licensed in Michigan (6451023253) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063293132
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameCASSIDY LAYNE HERNANDEZ
Location Address11150 EAST JEFFERSONDetroit, MI 48214
Mailing Address11150 East JeffersonDetroit, MI 48214 · (517) 894-8020
Phone(517) 894-8020
Sole ProprietorNo
Enumeration DateOctober 13, 2023
NPPES CertifiedOctober 12, 2023
✔ NPI 1063293132 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in MI · 6451023253
11150 EAST JEFFERSON, Detroit, MI 48214
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cassidy Layne Hernandez is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 6

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

HUDA ALMANFI
Social Worker (Clinical)
11150 EAST JEFFERSON
DETROIT, MI 48214
Wayne County (313) 939-0083
ANDREA NICOLE ZUCHORA MS, BCBA
Behavior Analyst
11150 EAST JEFFERSON
DETROIT, MI 48214
Wayne County (888) 813-8326
JESSICA SARA NEFF
Peer Specialist
11150 EAST JEFFERSON
DETROIT, MI 48214
Wayne County (888) 813-8326
DANIA BASMA
Social Worker (Clinical)
11150 EAST JEFFERSON
DETROIT, MI 48214
Wayne County (888) 813-8326
ROSHNI S KAZMI
Social Worker (Clinical)
11150 EAST JEFFERSON
DETROIT, MI 48214
Wayne County (888) 813-8326
SHAMONE BEASLEY
Peer Specialist
11150 EAST JEFFERSON
DETROIT, MI 48214
Wayne County (888) 813-8326

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 Cassidy Hernandez's NPI number?

The NPI number for Cassidy Hernandez is 1063293132. It was assigned to this individual provider in the NPPES registry on October 13, 2023.

Where is Cassidy Hernandez located?

Cassidy Hernandez practices at 11150 East Jefferson, Detroit, MI 48214. The listed phone number is (517) 894-8020.

What is Cassidy Hernandez's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Cassidy Hernandez enrolled in Medicare?

Yes. Cassidy Hernandez is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Cassidy Hernandez was last updated on October 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.