Active NPI
Office of Gretchen Fernandez, LCSW, PC
- Mental Health Counselor
- Dallas, TX
National Provider Identifier
1629314992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 31767
- Legal business name
- OFFICE OF GRETCHEN FERNANDEZ, LCSW, PC
- Practice address
- 12830 Hillcrest Rd # D-111
Dallas, TX 75230-1527 - Phone
- (972) 816-1162
- Fax
- (972) 364-9095
- NPI assigned
- Dec 14, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Gretchen Louise Fernandez, LCSW
- Title
- Clinician/Therapist
- Phone
- (972) 816-1162
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 31767 | TX | Primary |
Addresses
Primary practice location
12830 Hillcrest Rd # D-111
Dallas, TX 75230-1527
Mailing address
12830 Hillcrest Rd # D-111
Dallas, TX 75230-1527
Phone (972) 816-1162
National Provider Directory
National Provider DirectoryLocations
12830 Hillcrest Rd
Ste D111
Dallas, TX 75230
Phone (972) 816-1162
12830 Hillcrest Rd
#D111
Dallas, TX 75230
Phone (972) 816-1162
300 N Coit Rd
Ste 1175
Richardson, TX 75080
Phone (214) 306-9785
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Richardson, TX
- NPI 1225369408
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355443200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1355443200000",
"number": "1629314992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12830 HILLCREST RD # D-111",
"city": "DALLAS",
"state": "TX",
"postal_code": "752301527",
"telephone_number": "972-816-1162",
"fax_number": "972-364-9095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12830 HILLCREST RD # D-111",
"city": "DALLAS",
"state": "TX",
"postal_code": "752301527",
"telephone_number": "972-816-1162",
"fax_number": "972-364-9095"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OFFICE OF GRETCHEN FERNANDEZ, LCSW, PC",
"organizational_subpart": "NO",
"enumeration_date": "2012-12-14",
"last_updated": "2012-12-14",
"status": "A",
"authorized_official_last_name": "FERNANDEZ",
"authorized_official_first_name": "GRETCHEN",
"authorized_official_middle_name": "LOUISE",
"authorized_official_title_or_position": "CLINICIAN/THERAPIST",
"authorized_official_telephone_number": "972-816-1162",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "31767",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.