Active NPI
Antonio Fernandez Jr., LMHC-A
- Mental Health Counselor
- Lafayette, IN
National Provider Identifier
1376433813
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 88002882A
- Practice address
- 615 North 18TH Street
Howarth Center, Suite 101
Lafayette, IN 47904 - Phone
- (786) 537-9308
- NPI assigned
- Jul 7, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 88002882A | IN | Primary |
Addresses
Primary practice location
615 North 18TH Street
Howarth Center, Suite 101
Lafayette, IN 47904
Mailing address
615 North 18TH Street
Howarth Center, Suite 101
Lafayette, IN 47904
Phone (786) 537-9308
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 88002882A | IN | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1751846400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751846400000",
"number": "1376433813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 NORTH 18TH STREET",
"address_2": "HOWARTH CENTER, SUITE 101",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "47904",
"telephone_number": "786-537-9308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 NORTH 18TH STREET",
"address_2": "HOWARTH CENTER, SUITE 101",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "47904",
"telephone_number": "786-537-9308"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERNANDEZ",
"first_name": "ANTONIO",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "LMHC-A",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-07-07",
"last_updated": "2025-07-07",
"certification_date": "2025-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IN",
"license": "88002882A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lafayette, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.