Individual provider Active NPI

Carmen P Fernandez, MS, LPC

  • Mental Health Counselor
  • Hamilton, NJ
National Provider Identifier
1982398236
Registry record updated Sep 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
37PC00981900 Issued in NJ
Practice address
2277 Route 33 Ste 408
Hamilton, NJ 08690-1700
Phone
(732) 851-4808
NPI assigned
Jun 7, 2023
Last updated
Sep 18, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2023

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 37PC00981900 NJ Primary

Addresses

Primary practice location

2277 Route 33 Ste 408
Hamilton, NJ 08690-1700

Mailing address

660 Tennent Rd Ste 104
Manalapan, NJ 07726-3163
Phone (732) 851-4808

Other practice location 1

660 Tennent Rd Ste 104
Manalapan, NJ 07726-3163
Phone (732) 851-4808

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
37PC00981900NJMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Counseling & Development Center, LLC Past Accepting new patients

Organizations & group practices 1

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": "1686096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1982398236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 TENNENT RD STE 104",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077263163",
            "telephone_number": "732-851-4808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2277 ROUTE 33 STE 408",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086901700",
            "telephone_number": "732-851-4808"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "660 Tennent Rd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Manalapan",
            "state": "NJ",
            "postal_code": "077263163",
            "country_code": "US",
            "telephone_number": "732-851-4808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "CARMEN",
        "middle_name": "P",
        "credential": "MS, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-07",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37PC00981900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.