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MS. LISA HERNANDEZ M.S.
NPI 1578913679
Marriage & Family Therapist in Costa Mesa, CA

Active since June 20, 2016PECOS EnrolledAccepts Medicare Assignment
3505 CADILLAC AVE BLDG O, COSTA MESA, CA 92626(714) 432-9856 Get Directions Write a Review

NPPES record last updated: January 17, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 17, 2018, Jun 20, 2016 (2 updates tracked since 2016).

About Ms. Lisa Hernandez M.s. NPPES

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

MS. LISA HERNANDEZ M.S. (NPI 1578913679) is an individual marriage & family therapist in Costa Mesa, California and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1578913679
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMS. LISA HERNANDEZCredential: M.S.
Location Address3505 CADILLAC AVE BLDG OCosta Mesa, CA 92626-1429
Mailing AddressPo Box 2426Los Alamitos, CA 90720-7426 · (714) 321-8871
Phone(714) 432-9856
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateJune 20, 2016
Last NPPES UpdateJanuary 17, 20182 updates tracked since enumeration
✔ NPI 1578913679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
3505 CADILLAC AVE BLDG O, Costa Mesa, CA 92626
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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

Ms. Lisa Hernandez M.s. 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 ID1658723135
PECOS Enrollment IDI20240119003238
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 Reassignments

2

Medicare enrollment records show Lisa Hernandez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Soultenders, Inc.
32 mi
Clinical
41 E FOOTHILL BLVD, SUITE 102
Arcadia, CA 91006
  • Reassigned Medicare billing, California enrollment
  • 273 clinicians in this Medicare group
NPI 1164617007 (626) 737-6034
Soultenders Psychological Services, Inc.
32 mi
Clinical
41 E FOOTHILL BLVD STE 102
Arcadia, CA 91006
  • Reassigned Medicare billing, California enrollment
  • 255 clinicians in this Medicare group
NPI 1235810722 (626) 701-4249

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

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

CALIFORNIA TREATMENT COLLECTIVE, LLC.
Substance Abuse Rehabilitation Facility
3505 CADILLAC AVE BLDG O, SUITE 110
COSTA MESA, CA 92626
Orange County (949) 832-6169

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 Lisa Hernandez's NPI number?

The NPI number for Lisa Hernandez is 1578913679. It was assigned to this individual provider in the NPPES registry on June 20, 2016.

Where is Lisa Hernandez located?

Lisa Hernandez practices at 3505 Cadillac Ave Bldg O, Costa Mesa, CA 92626. The listed phone number is (714) 432-9856.

What is Lisa Hernandez's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Lisa Hernandez enrolled in Medicare?

Yes. Lisa 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 organizations bill Medicare for Lisa Hernandez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Hernandez reassigns Medicare benefits to 2 organizations: Soultenders, Inc. (Arcadia, CA) and Soultenders Psychological Services, Inc. (Arcadia, CA). Each 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 Lisa 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 Lisa Hernandez was last updated on January 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.