Michael Josue Fernandez, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH61427796 Issued in WA

Practice address

12306 SE Mill Plain Blvd Ste 250
Vancouver, WA 98684-6072

Phone

(360) 217-9186

NPI assigned

Jul 22, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Ally Christian Counseling LLC

  • Mental Health Counselor
  • Vancouver, WA
  • NPI 1760355549
  NPD

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

{
    "created_epoch": "1595376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712793600000",
    "number": "1154930493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12306 SE MILL PLAIN BLVD STE 250",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986846072",
            "telephone_number": "360-217-9186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12306 SE MILL PLAIN BLVD STE 250",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986846072",
            "telephone_number": "360-217-9186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "MICHAEL",
        "middle_name": "JOSUE",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-22",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH61427796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Ferjancic, AAC
• Esther Fermenick, LMP
• Fern & Fae Massage
• Fern Acupuncture LLC
• Shania Fernandez Lopez
• Rachel Fernandez
• Sergio Miguel Fernandez, FNP-C
• Caitlin Jean Fernhoff
• Jade Ferra
• Eric D Ferraris, MD

• Mental Health Counselor in Vancouver, WA
• Providers in Vancouver, 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 Apr 11, 2024; 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.