Active NPI
Lionel Fernandez, MSW
- Counselor
- Providence, RI
National Provider Identifier
1073630208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 66 Burnett St
Providence, RI 02907-2527 - Phone
- (401) 785-0050
- Fax
- (401) 941-0089
- NPI assigned
- Mar 23, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
66 Burnett St
Providence, RI 02907-2527
Mailing address
262 Crompton Rd
East Greenwich, RI 02818-1204
Phone (401) 203-1008
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Map Behavioral Health Group | Current | Accepting new patients | |
| Map Behavioral Health Services Inc. | Current | Accepting new patients | |
| Map Behavioral Health Services, Inc | Current | Accepting new patients |
Locations
66 Burnett St
Providence, RI 02907
Phone (401) 785-0050
343 Elmwood Ave
Providence, RI 02907
Phone (401) 999-7010
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 and National Provider Directory roles.
-
- Mental Health Counselor
- Providence, RI
- NPI 1992448534
-
- Substance Abuse Rehabilitation Facility
- Providence, RI
- NPI 1821218587
-
- Substance Abuse Rehabilitation Facility
- Providence, RI
- NPI 1477951176
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391126400000",
"number": "1073630208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "262 CROMPTON RD",
"city": "EAST GREENWICH",
"state": "RI",
"postal_code": "028181204",
"telephone_number": "401-203-1008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "66 BURNETT ST",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029072527",
"telephone_number": "401-785-0050",
"fax_number": "401-941-0089"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERNANDEZ",
"first_name": "LIONEL",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-23",
"last_updated": "2014-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.