SAMANTHA HERNANDEZ
NPI 1811514680
Counselor - Mental Health in Tolleson, AZ
NPI Status: Active since June 28, 2020
- Individual
- Female
- Counselor
- Mental Health
- Accepts Insurance
- PECOS Enrolled
- Opted-Out Medicare
About SAMANTHA HERNANDEZ
This page provides the complete NPI Profile along with additional information for Samantha Hernandez, a provider established in Tolleson, Arizona with a medical specialization in Counselor, focusing in mental health . The healthcare provider is registered in the NPI registry with number 1811514680 assigned on June 2020. The practitioner's primary taxonomy code is 101YM0800X with license number 18885 (AZ). The provider is registered as an individual and her NPI record was last updated 5 years ago.
- NPI
- 1811514680
- Provider Name
- SAMANTHA HERNANDEZ
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 2622 S 102ND LN TOLLESON, AZ 85353
- Location Phone
- (480) 442-7635
- Mailing Address
- PO BOX 304 TOLLESON, AZ 85353
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 06-28-2020
- Last Update Date
- 12-30-2020
- Code Navigator
A mental health counselor like Samantha Hernandez provides treatment to individuals, families, couples, and groups for mental and emotional health issues and relationship problems. Mental health counselors treat clients with a variety of conditions, including anxiety, depression, grief, low self-esteem, stress, and suicidal impulses.
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Samantha Hernandez opted out of Medicare effective on 05-06-2024 until 05-06-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Mental Health
- Taxonomy Code
- 101YM0800X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 18885
- License State
- AZ
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Connect Bronze 6800 Indiv Med Deductible - HMO
- Connect Bronze 8900 Indiv Med Deductible - HMO
- Connect Bronze CMS Standard - HMO
- Connect Gold 2500 Indiv Med Deductible - HMO
- Connect Gold CMS Standard - HMO
- Connect Silver 4000 Indiv Med Deductible - HMO
- Connect Silver 5000 Indiv Med Deductible - HMO
- Connect Silver CMS Standard - HMO
- Bronze Classic 4700 - HMO
- Bronze Classic Standard - HMO
- Bronze Elite + PCP Saver Plus - HMO
- Gold Classic - HMO
- Gold Classic Standard - HMO
- Secure - HMO
- Silver Classic Standard - HMO
- Silver Elite Saver Plus - HMO
- Silver Simple Chronic Care CKM - HMO
- Silver Simple PCP Saver - HMO
- Silver Simple Specialist Saver with COPD - HMO
- UHC Bronze Standard - HMO
- UHC Gold Standard - HMO
- UHC Silver Standard - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Samantha Hernandez is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 05-06-2024
Opt-Out End Date: 05-06-2026
Eligible to Order and Refer? No
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
Reviews for SAMANTHA HERNANDEZ
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 8 | 1 | 1 | 5 | 1 | 4 | 6 | 8 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 8 | 2 | 1 | 10 | 1 | 8 | 6 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 8 + 2 + 1 + 1 + 0 + 1 + 8 + 6 + 1 + 6 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1811514680 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following provider is registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1992318562 | COGNITIVE TRANSFORMATIONZ LLC Organization | Counselor (Mental Health) | 2622 S 102ND LN TOLLESON, AZ 85353 (480) 414-5070 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1811514680, enumerated in the NPI registry as an "individual" on June 28, 2020
The provider is located at 2622 S 102nd Ln Tolleson, Az 85353 and the phone number is (480) 442-7635
The provider's speciality is Counselor with taxonomy code 101YM0800X with a focus in Mental Health
The provider might be accepting Accepts: Cigna HealthCare of Arizona, Inc, Oscar Health. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
No, the provider signed an affidavit on May 06, 2024 to opt-out of the Medicare program. The provider is excluded from the Medicare program until May 06, 2026.
This NPI record was last updated on June 28, 2020. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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