Individual provider Active NPI

Victoria Louise Fernandez

  • Mental Health Counselor
  • Clearwater, FL
National Provider Identifier
1528389673
Registry record updated Dec 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH15404 Issued in FL
Practice address
1009 Pearce Dr Unit 306
Clearwater, FL 33764-1110
Phone
(917) 254-0935
NPI assigned
Jun 11, 2010
Last updated
Dec 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH15404 FL Primary

Addresses

Primary practice location

1009 Pearce Dr Unit 306
Clearwater, FL 33764-1110

Mailing address

1009 Pearce Dr Unit 306
Clearwater, FL 33764-1110
Phone (917) 254-0935

Other practice location 1

900 Carillon Pkwy Ste 200
Saint Petersburg, FL 33716-1108
Phone (727) 561-2760

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Victoria.FernandezLHMC@direct.mybaycare.org Health Information Exchange (HIE) BayCare Medical Group, Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231201002778 FL Practitioner - Mental Health Counselor 9638527567 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baycare Behavioral Health IncGroup PAC ID 4688649122, 58 clinicians

Practice addresses (Care Compare)

7809 Massachusetts Ave
New Port Richey, FL 34653-3028
Phone (727) 841-4200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH15404FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Baycare Behavioral Health Inc. Current Accepting new patients
Baycare Behavioral Health, Inc CurrentSince Jan 1, 2024 Accepting new patients
Baycare Behavioral Health, Inc CurrentSince Jan 1, 2024 Accepting new patients
Baycare Behavioral Health Inc. Past Accepting new patients
Behavioral Health Management Services, Inc. Past Accepting new patients

Locations

2995 Drew St
Fl 2
Clearwater, FL 33759
Phone (727) 315-7234

7809 Massachusetts Ave
Ste 100
New Prt Rchy, FL 34653
Phone (727) 841-4200

900 Carillon Pkwy
Ste 200
St Petersburg, FL 33716
Phone (727) 519-2760

2087 Little Rd
Trinity, FL 34655
Phone (727) 203-8888

Interoperability endpoints

  • Direct secure messaging: victoria.fernandezlhmc@direct.mybaycare.org
  • Direct secure messaging: victoria.fernandezlmhc@direct.mybaycare.org

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1276214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670371200000",
    "number": "1528389673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 PEARCE DR UNIT 306",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337641110",
            "telephone_number": "917-254-0935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 PEARCE DR UNIT 306",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337641110",
            "telephone_number": "917-254-0935"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 Carillon Pkwy Ste 200",
            "address_purpose": "LOCATION",
            "city": "Saint Petersburg",
            "state": "FL",
            "postal_code": "337161108",
            "country_code": "US",
            "telephone_number": "727-561-2760",
            "fax_number": "727-333-6384",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "VICTORIA",
        "middle_name": "LOUISE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-11",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH15404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Victoria.FernandezLHMC@direct.mybaycare.org",
            "affiliation": "Y",
            "affiliationName": "BayCare Medical Group, Inc.",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2995 Drew St Fl 2",
            "city": "Clearwater",
            "state": "FL",
            "country_code": "US",
            "postal_code": "337593012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.