Wilfredo Fernandez-Fonseca, LMHCA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

2142 W Railroad Ave
Shelton, WA 98584-7813

Phone

(253) 354-3764

Fax

(253) 354-7440

NPI assigned

Sep 2, 2026

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

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

{
    "created_epoch": "1788307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1366351967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2142 W RAILROAD AVE",
            "city": "SHELTON",
            "state": "WA",
            "postal_code": "985847813",
            "telephone_number": "253-354-3764",
            "fax_number": "253-354-7440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2142 W RAILROAD AVE",
            "city": "SHELTON",
            "state": "WA",
            "postal_code": "985847813",
            "telephone_number": "253-354-3764",
            "fax_number": "253-354-7440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "312 Stella Ct NW",
            "address_purpose": "LOCATION",
            "city": "Yelm",
            "state": "WA",
            "postal_code": "985976623",
            "country_code": "US",
            "telephone_number": "253-354-3764",
            "fax_number": "253-354-7440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERNANDEZ-FONSECA",
        "first_name": "WILFREDO",
        "credential": "LMHCA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-09-02",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Evans, COTA/L
• Evergreen at Shelton, L.L.C. (Shelton Health and Rehabilitation Center)
• Exceptional Foresters, Inc.
• Tina Fenn
• James P Fernandes, MA , MHP, CAAR
• Rachel Field-Borodin, RN
• Fir Lane Care LLC (Fir Lane Care)
• Fir Lane Health - Shelton, LLC
• Fir Lane Health-Shelton,LLC (Fir Lane Health & Rehabilitation Center)
• Fire Protection Dist 5 Mason County (Central Mason Fire & EMS)

• Mental Health Counselor in Shelton, WA
• Providers in Shelton, 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 Sep 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.