Individual provider Active NPI

Marc Fernandez, LMFT

  • Marriage & Family Therapist
  • Oceanside, NY
National Provider Identifier
1578040945
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
001287 Issued in NY
Practice address
80 Atlantic Ave Unit 605
Oceanside, NY 11572-7028
Phone
(347) 915-3907
NPI assigned
Jul 27, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 001287 NY Primary

Addresses

Primary practice location

80 Atlantic Ave Unit 605
Oceanside, NY 11572-7028

Mailing address

80 Atlantic Ave Unit 605
Oceanside, NY 11572-7028
Phone (914) 266-0881

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Dec 19, 2024 through Dec 19, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
001287NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Westchester Marriage and Family Therapy Relationship Group PLLC Marriage & Family Therapist CurrentSince Apr 28, 2024 Accepting new patients
Family and Children'S Association - Family First Marriage & Family Therapist Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1532649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1578040945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 ATLANTIC AVE UNIT 605",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115727028",
            "telephone_number": "914-266-0881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 ATLANTIC AVE UNIT 605",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115727028",
            "telephone_number": "347-915-3907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "MARC",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-27",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NY",
            "license": "001287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, NY

Sources for this page

Verify at the official NPI Registry.