Yvonne E Fernandez, LMFTA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

7712 Issued in SC

Practice address

945 E Main St Ste 5
Spartanburg, SC 29302-2119

Phone

(864) 383-9002

Fax

(864) 383-9011

NPI assigned

Jul 8, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in SC

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

Specialty

Marriage and Family Therapist

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Charleston Counseling Center PCGroup PAC ID 6204125107, 186 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Charleston Counseling Center PC

  dba Lifestance Health

  • Mental Health Counselor
  • Mount Pleasant, SC
  • NPI 1316375678
  Medicare reassignment Care Compare group NPD
• Modern Wellness Family Counseling, LLC

  • Marriage & Family Therapist
  • Spartanburg, SC
  • NPI 1972146611
  Medicare reassignment NPD
• Myrtle Beach Counseling Center

  • Mental Health Counselor
  • Myrtle Beach, SC
  • NPI 1235784661
  NPD (past)

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

{
    "created_epoch": "1625702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625702400000",
    "number": "1619548708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 FAWN HILL DR",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296818066",
            "telephone_number": "626-437-6370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 E MAIN ST STE 5",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293022119",
            "telephone_number": "864-383-9002",
            "fax_number": "864-383-9011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25 Woods Lake Rd Ste 600",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296072766",
            "country_code": "US",
            "telephone_number": "864-383-9002",
            "fax_number": "864-383-9011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "YVONNE",
        "middle_name": "E",
        "credential": "LMFTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-08",
        "last_updated": "2021-07-08",
        "certification_date": "2021-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "7712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.modernwellnessfamilycounseling.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "945 E Main St Ste 5",
            "city": "Spartanburg",
            "state": "SC",
            "country_code": "US",
            "postal_code": "293022119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kazuko Robin Felder, PSYD
• Justin Feldmann, M.D.
• Christopher Andrew Fenner, LMSW
• Lindsey Jones Ferguson, OTR/L
• Jordan Fernandez, PT
• William B Ferrell
• Kimberley Fielder, DC
• Eve Ariel Samuels Fields, MD
• James K Fields, D.M.D.
• James W Fields, DMD

• Mental Health Counselor in Spartanburg, SC
• Providers in Spartanburg, SC by specialty
• Mental Health Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2021; 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.

Verify at the official NPI Registry.