LISETTE MACIEL HERNANDEZ APCC
NPI 1710585484
Counselor - Professional in Modesto, CA

Active since October 14, 2020
3508 DALE RD STE B, MODESTO, CA 95356(209) 721-6630 Get Directions Write a Review

NPPES record last updated: September 29, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lisette Maciel Hernandez Apcc NPPES

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

LISETTE MACIEL HERNANDEZ APCC (NPI 1710585484) is an individual professional provider in Modesto, California, licensed in California (20017) and active in the NPI registry since October 2020.

NPPES Registry Identity

NPI1710585484
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameLISETTE MACIEL HERNANDEZCredential: APCC
Location Address3508 DALE RD STE BModesto, CA 95356-0794
Mailing Address2748 Santiago DrModesto, CA 95354-3236 · (559) 517-4257
Sole ProprietorNo
Enumeration DateOctober 14, 2020
Last NPPES UpdateSeptember 29, 2025
NPPES CertifiedSeptember 29, 2025
NPI 1710585484 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 CA · 20017
3508 DALE RD STE B, Modesto, CA 95356

Other Providers at the Same Location NPPES 2

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

Clinic/Center (Mental Health (Including Community Mental Health Center))
3508 DALE RD STE B
MODESTO, CA 95356
Counselor (Professional)
3508 DALE RD STE B
MODESTO, CA 95356

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 Lisette Maciel Hernandez's NPI number?

The NPI number for Lisette Maciel Hernandez is 1710585484. It was assigned to this individual provider in the NPPES registry on October 14, 2020.

Where is Lisette Maciel Hernandez located?

Lisette Maciel Hernandez practices at 3508 Dale Rd Ste B, Modesto, CA 95356. The listed phone number is (209) 721-6630.

What is Lisette Maciel Hernandez's specialty?

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

When was this NPI record last updated?

The NPPES record for Lisette Maciel Hernandez was last updated on September 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.