Active NPI
Cecily Fernandez
- Marriage & Family Therapist
- Spokane, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MG61497468
- Practice address
- 100 N Howard St Ste R
Spokane, WA 99201-0508 - Phone
- (682) 331-0707
- NPI assigned
- Nov 17, 2013
- Last updated
- Feb 21, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 78734 | CA | |
| Marriage & Family Therapist | 106H00000X | MI4308 | NV | |
| Marriage & Family Therapist | 106H00000X | MG61497468 | WA | Primary |
Addresses
Primary practice location
100 N Howard St Ste R
Spokane, WA 99201-0508
Mailing address
100 N Howard St Ste R
Spokane, WA 99201-0508
Phone (682) 331-0707
Other practice location 1
68625 Perez Rd
Cathedral City, CA 92234-7250
Phone (760) 972-6696
Other practice location 2
3330 Las Vegas Blvd N
Las Vegas, NV 89115-0538
Phone (682) 331-0707
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 2013
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
6505 216TH St SW
Suite 100
Mountlake Terrace, WA 98043-2089
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MI4308 | NV | MD | Marriage & Family Therapist |
| MG61497468 | WA | MD | Marriage & Family Therapist |
| 78734 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| High Vibes Therapy Cirle and Selfcare Salon PLLC | Marriage & Family Therapist | Current | Accepting new patients |
| High Vibes Medical Supply LLC | Current | Accepting new patients | |
| Elevating to New Heights LLC | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Durable Medical Equipment & Medical Supplies
- Las Vegas, NV
- NPI 1568283281
-
- Marriage & Family Therapist
- Las Vegas, NV
- NPI 1245088624
-
dba Mindful Therapy Group
- Clinical Social Worker
- Mountlake Terrace, WA
- NPI 1316238678
-
- Community/Behavioral Health Agency
- Las Vegas, NV
- NPI 1760078802
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1384646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708473600000",
"number": "1285064949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 N HOWARD ST STE R",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992010508",
"telephone_number": "682-331-0707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 N HOWARD ST STE R",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992010508",
"telephone_number": "682-331-0707"
}
],
"practiceLocations": [
{
"address_1": "68625 Perez Rd",
"address_purpose": "LOCATION",
"city": "Cathedral City",
"state": "CA",
"postal_code": "922347250",
"country_code": "US",
"telephone_number": "760-972-6696",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3330 Las Vegas Blvd N",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891150538",
"country_code": "US",
"telephone_number": "682-331-0707",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FERNANDEZ",
"first_name": "CECILY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-17",
"last_updated": "2024-02-21",
"certification_date": "2024-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "78734",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NV",
"license": "MI4308",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "WA",
"license": "MG61497468",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.