Individual provider Active NPI

Nathalie Alejandra Fernandez Mendez

  • Mental Health Counselor
  • Burlington, NC
National Provider Identifier
1053048561
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
18125 Issued in NC
Practice address
103 Pillow LN
Burlington, NC 27217-9466
Phone
(631) 953-5005
NPI assigned
Aug 4, 2022
Last updated
Apr 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2026

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 18125 NC Primary

Addresses

Primary practice location

103 Pillow LN
Burlington, NC 27217-9466

Mailing address

103 Pillow LN
Burlington, NC 27217-9466
Phone (631) 953-5005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241206001809 NY Practitioner - Mental Health Counselor 4587190053 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
New York Psychotherapy and Counseling CenterGroup PAC ID 4880600147, 113 clinicians

Practice addresses (Care Compare)

579 Courtlandt Ave
Bronx, NY 10451-5013
Phone (718) 485-2100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18125NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Inner Bridge Psychotherapy PLLC Mental Health CurrentSince Dec 14, 2025 Accepting new patients
New York Psychotherapy and Counseling Center CurrentSince Oct 3, 2024 Accepting new patients
Coordinated Behavioral Care Ipa Inc PastSince Oct 3, 2024 Accepting new patients

Locations

579 Courtlandt Ave
Bronx, NY 10451
Phone (718) 908-8000

2857 Linden Blvd
Brooklyn, NY 11208
Phone (718) 235-3100

17620 148th Ave
Jamaica, NY 11434
Phone (718) 553-1100

Organizations & group practices 3

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": "1659571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1053048561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 PILLOW LN",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272179466",
            "telephone_number": "631-953-5005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 PILLOW LN",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272179466",
            "telephone_number": "631-953-5005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ MENDEZ",
        "first_name": "NATHALIE",
        "middle_name": "ALEJANDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-04",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "18125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, NC

Sources for this page

Verify at the official NPI Registry.