Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jacqueline Eliza Hernandez, MHC-LP

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1033705538

Jacqueline Eliza Hernandez, MHC-LP is a Mental Health Counselor in New York, New York. Qualified in 2017, 9 years ago. Practices with Realization Center Inc, an 11-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
9
Licensed in
NY
In the registry since
2020
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Practice location Address checks out

19 Union Sq W Fl 7
New York, NY 10003-3304
Phone: (212) 627-9600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 100455-01 (NY)

Record details

NPI number1033705538
Entity typeIndividual (Type 1)
GenderFemale
Credentials MHC-LP
Sole proprietorNo
NPI enumeratedDecember 18, 2020
Last updated in NPPESDecember 18, 2020
Certification dateDecember 18, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Realization Center Inc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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