Individual provider Active NPI

Arianna Fernandez, MS, LMHC

  • Mental Health Counselor
  • Boca Raton, FL
National Provider Identifier
1043648413
Registry record updated Aug 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH11447 Issued in FL
Practice address
399 NW 2ND Ave Ste 214
Boca Raton, FL 33432-3848
Phone
(954) 279-6324
NPI assigned
Oct 23, 2013
Last updated
Aug 3, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH11447 FL Primary

Addresses

Primary practice location

399 NW 2ND Ave Ste 214
Boca Raton, FL 33432-3848

Mailing address

6710 Congress Avenue
Apt 411
Boca Raton, FL 33487-1122
Phone (954) 279-6324

Other practice location 1

201 N Federal Hwy
suite 115
Deerfield Beach, FL 33441-3625
Phone (954) 275-2683

Other practice location 2

7138 Lake Worth Rd
Suite D
Lake Worth, FL 33467-3346
Phone (561) 288-0377

Other names 1

  • Arianna Fernandez Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
MH11447FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Revive Counseling LLC Mental Health Current Accepting new patients

Locations

399 NW 2nd Ave
Ste 214
Boca Raton, FL 33432
Phone (561) 221-0450

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1382486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627948800000",
    "number": "1043648413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6710 CONGRESS AVENUE",
            "address_2": "APT 411",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334871122",
            "telephone_number": "954-279-6324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "399 NW 2ND AVE STE 214",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334323848",
            "telephone_number": "954-279-6324"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 N Federal Hwy",
            "address_2": "suite 115",
            "address_purpose": "LOCATION",
            "city": "Deerfield Beach",
            "state": "FL",
            "postal_code": "334413625",
            "country_code": "US",
            "telephone_number": "954-275-2683",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7138 Lake Worth Rd",
            "address_2": "Suite D",
            "address_purpose": "LOCATION",
            "city": "Lake Worth",
            "state": "FL",
            "postal_code": "334673346",
            "country_code": "US",
            "telephone_number": "561-288-0377",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "ARIANNA",
        "name_prefix": "Mrs.",
        "credential": "MS, LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-23",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH11447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ARIANNA",
            "last_name": "FERNANDEZ",
            "credential": "LMHC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.