WANDA RAQUEL ORTIZ HERNANDEZ LCPC
NPI 1104506393
Counselor - Professional in Urbana, IL

Active since July 21, 2023PECOS EnrolledAccepts Medicare Assignment
2001 PHILO RD, URBANA, IL 61802(217) 552-1211 Get Directions Write a Review

NPPES record last updated: July 21, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Wanda Raquel Ortiz Hernandez Lcpc NPPES

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

WANDA RAQUEL ORTIZ HERNANDEZ LCPC (NPI 1104506393) is an individual professional provider in Urbana, Illinois, licensed in Illinois (180.015451) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1104506393
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameWANDA RAQUEL ORTIZ HERNANDEZCredential: LCPC
Location Address2001 PHILO RDUrbana, IL 61802-8007
Mailing Address309 W Clark StChampaign, IL 61820-4637 · (217) 398-9066
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJuly 21, 2023
NPPES CertifiedJuly 21, 2023
NPI 1104506393 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in IL · 180.015451
2001 PHILO RD, Urbana, IL 61802

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Wanda Raquel Ortiz Hernandez Lcpc 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 ID1153769534
PECOS Enrollment IDI20240404001055
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 15

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

Social Worker (Clinical)
2001 PHILO RD
URBANA, IL 61802
Nurse Practitioner (Psychiatric/Mental Health)
2001 PHILO RD
URBANA, IL 61802
Counselor (Professional)
2001 PHILO RD
URBANA, IL 61802
Counselor (Professional)
2001 PHILO RD
URBANA, IL 61802
Counselor (Mental Health)
2001 PHILO RD
URBANA, IL 61802
Counselor (Professional)
2001 PHILO RD
URBANA, IL 61802
Social Worker (Clinical)
2001 PHILO RD
URBANA, IL 61802
Social Worker (Clinical)
2001 PHILO RD
URBANA, IL 61802

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 Wanda Ortiz Hernandez's NPI number?

The NPI number for Wanda Ortiz Hernandez is 1104506393. It was assigned to this individual provider in the NPPES registry on July 21, 2023.

Where is Wanda Ortiz Hernandez located?

Wanda Ortiz Hernandez practices at 2001 Philo Rd, Urbana, IL 61802. The listed phone number is (217) 552-1211.

What is Wanda Ortiz Hernandez's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Wanda Ortiz Hernandez enrolled in Medicare?

Yes. Wanda Ortiz 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.

What insurance does Wanda Ortiz Hernandez accept?

Health plans from Providence Health Plan list Wanda Ortiz Hernandez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Wanda Ortiz Hernandez was last updated on July 21, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.