Letha Fernandez, LMHC, CDP, DDMHS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH60245300 Issued in WA

Practice address

2503 Camas Ave NE
Renton, WA 98056

Phone

(206) 687-2863

NPI assigned

Jan 9, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Letha Fernandez Other name

Medicare fee-for-service enrollment

Enrolled in WA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Sound

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Tukwila, WA
  • NPI 1780774950
  Medicare reassignment NPD

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534204800000",
    "number": "1104975226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2503 CAMAS AVE NE",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980562226",
            "telephone_number": "206-687-2863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2503 CAMAS AVE NE",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "98056",
            "telephone_number": "206-687-2863"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14216 NE 21st St",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "980073720",
            "country_code": "US",
            "telephone_number": "425-653-4900",
            "fax_number": "425-653-4910",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6100 Southcenter Blvd",
            "address_purpose": "LOCATION",
            "city": "Tukwila",
            "state": "WA",
            "postal_code": "981882442",
            "country_code": "US",
            "telephone_number": "206-444-7800",
            "fax_number": "206-444-7810",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "LETHA",
        "credential": "LMHC, CDP, DDMHS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2018-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP60196695",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60245300",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LETHA",
            "last_name": "FERNANDEZ",
            "credential": "LMHC, CDP, DDMHS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Feminist Women'S Health Center
• Sean Fennessy, MD
• Lora Marie Ferguson, PHARMD
• Richard Ferguson, LMP
• Ellie Elizabeth Ferkingstad, LMT
• Paola Fernandez
• Gina Ferrari, LICSW, MHP
• Meaghan Ferrick, EDS
• Molly Ferry
• Debra Susan Fetherston, MD

• Mental Health Counselor in Renton, WA
• Providers in Renton, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.