Nallivy Fernandez LMHC LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

NALLIVY FERNANDEZ LMHC LLC

Practice address

20336 NW 2ND Ave
Miami, FL 33169-2503

Phone

(954) 682-1552

NPI assigned

Jul 18, 2022

Organization subpart

No

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

Authorized official

Name

Nallivy Fernandez, LMHCNPI 1952862328

Title

Owner

Phone

(954) 682-1552

Specialties & licenses 1

Addresses

Other names 1

• Fields Of Ivy Counseling Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nallivy Fernandez

  • Mental Health Counselor
  • Pembroke Pines, FL
  • NPI 1952862328
  NPD Authorized official

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

{
    "created_epoch": "1658102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658102400000",
    "number": "1194450833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 SW 70TH AVE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330231023",
            "telephone_number": "954-682-1552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20336 NW 2ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331692503",
            "telephone_number": "954-682-1552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NALLIVY FERNANDEZ LMHC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-18",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "NALLIVY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-682-1552",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fields Of Ivy Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mental Health Counselor in Miami, FL
• Providers in Miami, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2022; 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.