Individual provider Active NPI

Elis Cristina Davila Fernandez, LMHC

  • Mental Health Counselor
  • New York, NY
National Provider Identifier
1982593737
Registry record updated May 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
017732 Issued in NY
Practice address
65 E 96TH St Apt 15D
New York, NY 10128-0777
Phone
(917) 363-2808
NPI assigned
Jun 28, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2026

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 017732 NY Primary

Addresses

Primary practice location

65 E 96TH St Apt 15D
New York, NY 10128-0777

Mailing address

65 E 96TH St Apt 15D
New York, NY 10128-0777
Phone (917) 363-2808

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

State licenses

LicenseStateTypeSpecialty
017732NYMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1751068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778803200000",
    "number": "1982593737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 E 96TH ST APT 15D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101280777",
            "telephone_number": "917-363-2808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 E 96TH ST APT 15D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101280777",
            "telephone_number": "917-363-2808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVILA FERNANDEZ",
        "first_name": "ELIS",
        "middle_name": "CRISTINA",
        "name_prefix": "Dr.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-28",
        "last_updated": "2026-05-15",
        "certification_date": "2026-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "017732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2026; 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.