Della Fernandes, LICENSED MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC50734 Issued in CA

Practice address

1204 Burlingame Ave Ste 5
Burlingame, CA 94010-4139

Phone

(925) 365-6968

NPI assigned

May 3, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Counselors Plus - Individual Family and Relationship Counseling Inc.

  dba Counselors Plus Inc

  • Mental Health Counselor
  • Burlingame, CA
  • NPI 1801387881
  NPD (past) Authorized official
• Circles Counseling Services

  • Community/Behavioral Health Agency
  • Burlingame, CA
  • NPI 1164644811
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379548800000",
    "number": "1043432784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 PRIMROSE RD STE 209",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940104091",
            "telephone_number": "650-490-3120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1204 BURLINGAME AVE STE 5",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940104139",
            "telephone_number": "925-365-6968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDES",
        "first_name": "DELLA",
        "name_prefix": "Ms.",
        "credential": "LICENSED MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-03",
        "last_updated": "2013-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "IMF52312",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC50734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mehran Farid-Moayer, M.D.
• Margaret Hannah Farrell, LMFT
• Emma Featherstone
• Connor Fenech
• Weina Feng, MSPT
• Adelardo Manuel Ferrer, M.D.
• Mary-Louise Janneke Ferris, M.D.
• Michelle Beth Ficcaglia, PHD BCBA
• Hanneke Finones, DDS
• Firefly Center: Therapy Services for Children

• Marriage & Family Therapist in Burlingame, CA
• Providers in Burlingame, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.