Luis Fernandez, CASAC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

18448 Issued in NY

Practice address

2976 Northern Blvd
2ND FL
Long Island City, NY 11101-2822

Phone

(212) 691-7554

Fax

(347) 510-3457

NPI assigned

May 5, 2014

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• The Fortune Society Inc.

  • Addiction (Substance Use Disorder) Counselor
  • Long Island City, NY
  • NPI 1235357237
  NPD (past)

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

{
    "created_epoch": "1399248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399248000000",
    "number": "1205246881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2976 NORTHERN BLVD",
            "address_2": "2ND FL",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111012822",
            "telephone_number": "212-691-7554",
            "fax_number": "347-510-3457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2976 NORTHERN BLVD",
            "address_2": "2ND FL",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111012822",
            "telephone_number": "212-691-7554",
            "fax_number": "347-510-3457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "LUIS",
        "credential": "CASAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-05",
        "last_updated": "2014-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NY",
            "license": "18448",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02740141",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jasmine Nicole Ferguson, RN
• Joanne Mercedes Fernandez-Booker, M.D., M.P.H.
• Gabriel Angel Fernandez
• Glendaly Fernandez, DDS
• Kim Fernandez
• Lyka Mae Pangandoyon Fernandez
• Robin Ferragamo, RN
• Sandra Jean Ferrara, REGISTERED NURSE
• Yosvina Ferreira, RN
• Jean Elizabeth Ferring, RN

• Professional Counselor in Long Island City, NY
• Providers in Long Island City, NY by specialty
• Professional Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.

Verify at the official NPI Registry.