DR. SUMITH D PETER FERNANDO (NPI# 1316963697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316963697 |
| Entity Type | Individual |
| Full Name | DR. SUMITH D PETER FERNANDO |
| Credential | LPC, LMFT, CCDC, CHT |
| Practice Address |
1901 Central Drive Ste 205 Bedford TX 76021 |
| Practice Telephone | 8172831420 |
| Practice Fax Number | 8175458574 |
| Mailing Telephone | 8172831420 |
| Mailing Fax Number | 8175458574 |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | 98LMFT | TX | Behavioral Health & Social Service Providers |
| Y | 101Y00000X | Counselor | 10654LPC | TX | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | AMERIGROUP | 10029878 | 01 |
| Street Address |
1901 CENTRAL DRIVE STE 205 |
| City | BEDFORD |
| State | TX |
| Zip Code | 76021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396357851 | Crystal Le | Pharmacist | 4121 E Hardwood Rd, Bedford, TX 76021 | 2020-08-17 |
| 1114544095 | Morgan Sanders | Physical Therapist | 2419 Tx 121, Bedford, TX 76021 | 2020-06-26 |
| 1669938171 | Tracie Thomas | Nurse Practitioner | 3901 Airport Freeway, Suite 230, Bedford, TX 76021 | 2019-02-20 |
| 1346710928 | Bedford Pharmacy LLC | Pharmacy | 2816 Central Dr Ste 160, Bedford, TX 76021 | 2018-11-27 |
| 1861973562 | Healogix Consultants, LLC | Pharmacy | 601-1 Harwood Rd, Bedford, TX 76021 | 2018-08-22 |
| 1851870570 | Artie Lee Nolen | Licensed Vocational Nurse | 1415 Shady Ln, Bedford, TX 76021 | 2018-08-13 |
| 1821510496 | Gabriela D Driskill | Counselor | 201 E. 9th Street, Dallas, TX 76021 | 2017-07-14 |
| 1588190938 | Tdc-bedford Dialysis Clinic LLC | Clinic/Center | 725 N Industrial Blvd, Ste 100, Bedford, TX 76021 | 2017-05-04 |
| 1801246673 | Tamara Allen-wolf, LLC | Counselor | 2217 Martin Dr., Ste 200, Bedford, TX 76021 | 2016-06-13 |
| 1013399799 | Nirvana Dental | Clinic/Center | 3704 Cheek Sparger Road #100, Bedford, TX 76021 | 2015-06-18 |
| Find all providers in zip 76021 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861959629 | Donna Stevens | Counselor | 855 Lincoln Blvd, Bedford, OH 44146 | 2019-02-27 |
| 1891295820 | Texas Center for Behavioral Health | Counselor | 1901 Central Dr Ste 506, Bedford, TX 76021-5826 | 2018-02-16 |
| 1720591951 | Cj Counseling, Pllc | Counselor | 2621 Bedford Rd, Bedford, TX 76021-5901 | 2017-11-09 |
| 1326587817 | Sabena Nanji | Counselor | 2404 Stonegate Dr N, Bedford, TX 76021-4345 | 2017-02-16 |
| 1689038309 | Peaks View Counseling, Pllc | Counselor | 800 Blue Ridge Ave, Suite A, Bedford, VA 24523-2429 | 2016-04-08 |
| 1740603216 | Dennis Williamson I | Counselor | 136 E Pitt St, Bedford, PA 15522-1347 | 2014-02-03 |
| 1386067528 | Ruth Ann Long | Counselor | 2217 Martin Dr, Suite 200, Bedford, TX 76021-6247 | 2014-01-23 |
| 1952738767 | Meaghan D Semple | Counselor | 3901 Airport Fwy Ste 230, Bedford, TX 76021-6091 | 2013-10-11 |
| 1922349265 | Pneuma Life Foundation | Counselor | 466 Northfield Rd Lowr Level, Bedford, OH 44146-2287 | 2013-03-12 |
| 1932465234 | Amberly Shaffer | Counselor | 3759 Business Rte. 220 N. Suite 101, Bedford, PA 15522 | 2012-04-11 |
| Find all providers in BEDFORD | ||||
Please comment or provide details below to improve the information on DR. SUMITH D PETER FERNANDO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.