MARY FERNANDEZ (NPI# 1538337175) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538337175 |
| Entity Type | Individual |
| Full Name | MARY FERNANDEZ |
| Credential | CPRP |
| Practice Address |
250 North Ave Athens GA 30601-2244 |
| Mailing Address |
62 Chestnut St Elberton GA 30635-1806 |
| Practice Telephone | 7065429700 |
| Practice Fax Number | 7062277249 |
| Mailing Telephone | 7065493182 |
| Mailing Fax Number | 7062132023 |
| Enumeration Date | 2008-02-18 |
| Last Update Date | 2008-02-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457896821 | Mary Elizabeth Fernandez | Dietitian, Registered | 6027 Pineshade Ln, Houston, TX 77008-6338 | 2016-12-21 |
| 1962825372 | Mary Kathleen Fernandez | Registered Nurse | 5180 State Route 19, Galion, OH 44833-9765 | 2014-01-22 |
| 1720023492 | Mary Eddy Fernandez | Counselor | 17501 Irvine Blvd, Ste 11, Tustin, CA 92780-3103 | 2006-06-18 |
| 1396799656 | Mary C Fernandez | Pathology | Hospital Based @ Community Memorial, W180 N8085 Town Hall Road, Menomonee Falls, WI 53051 | 2006-05-20 |
| 1265678965 | Mary Rose Fernandez | Counselor | 9502 Rockaway Beach Blvd, Rockaway Beach, NY 11693-1317 | 2008-12-30 |
| 1669698692 | Mary Ruth Fernandez | Speech-Language Pathologist | 411 Sw 24th Street, Harry Jersig Center Our Lady of The Lake University, San Antonio, TX 78207-4689 | 2007-04-18 |
| 1841366432 | Mary Jane Fernandez | Physical Therapist | 4351 Northview Drive, Bowie, MD 20716-2602 | 2006-11-27 |
| Street Address |
250 NORTH AVE |
| City | ATHENS |
| State | GA |
| Zip Code | 30601-2244 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942270558 | Advantage Behavioral Health Systems | Clinic/Center | 250 North Ave, Athens, GA 30601-2244 | 2006-01-25 |
| 1396367181 | Tracie Rene Tomas | Counselor | 250 North Ave, Athens, GA 30601-2244 | 2020-05-14 |
| 1043832298 | Kathryn Taylor Ashmore | Social Worker | 250 North Ave, Athens, GA 30601-2244 | 2020-05-11 |
| 1093335853 | Obianuju Okpala | Nurse Practitioner | 250 North Ave, Athens, GA 30601-2244 | 2020-04-22 |
| 1427694116 | Diane M Hodge | Counselor | 250 North Ave, Athens, GA 30601-2244 | 2019-11-18 |
| 1265092191 | Margaret Molony | Behavioral Analyst | 250 North Ave, Athens, GA 30601-2244 | 2019-06-13 |
| 1407414394 | Brier Wagoner-mccann | Social Worker | 250 North Ave, Athens, GA 30601-2244 | 2019-06-05 |
| 1225596802 | Erin Ray | Social Worker | 250 North Ave, Athens, GA 30601-2244 | 2019-03-04 |
| 1720583529 | Jessica Wiggs | Counselor | 250 North Ave, Athens, GA 30601 | 2018-03-26 |
| 1164920716 | Ebot B Manga | Nurse Practitioner | 250 North Ave, Athens, GA 30601-2244 | 2018-01-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154971679 | Classic City Counseling & Consultation LLC | Psychologist | 159 Oneta St., Unit 1a Suite 7, Athens, GA 30601 | 2019-09-17 |
| 1982172433 | Smith Dental Care of Athens Inc. | Clinic/Center | 801 Us Highway 29 North, Athens, GA 30601 | 2018-11-02 |
| 1356865935 | Elizabeth Anne Price | Pharmacist | 9249 Hwy 29, Athens Community Based Outpatient Va Clinic, Athens, GA 30601 | 2017-07-26 |
| 1386011575 | Janna Barham Cleveland | Nurse Practitioner | 496 Reese Street, Athens, GA 30601 | 2015-08-24 |
| 1295113769 | Brent Dillin Temple | Case Manager/Care Coordinator | 9249 Highway 29 North, Athens, GA 30601 | 2015-05-15 |
| 1356736417 | Brett Magner | Family Medicine | 855 W Broad St Ste 1, Athens, GA 30601 | 2015-04-05 |
| 1619397478 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 700 Highway 29 N, Athens, GA 30601 | 2014-04-21 |
| 1972921021 | Issa Papiss Bagayogo | Psychiatry & Neurology | 297 Prince Avenue Suite 28a, Athens, GA 30601 | 2014-04-04 |
| 1447682083 | Brittany Lynn Lowery | Counselor | 250 Bray Street, Athens, GA 30601 | 2013-08-06 |
| 1417194135 | Carey Kirk | Counselor | 295 Mles St, Athens, GA 30601 | 2009-01-16 |
| Find all providers in zip 30601 | ||||
| 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 |
|---|---|---|---|---|
| 1770062218 | Mary Mckaleigh Cole | Counselor | 188 Ben Burton Circle, #100, Athens, GA 30266 | 2018-08-07 |
| 1033583612 | Annie Borba | Counselor | 519 Brewer St, Athens, TN 37303-4618 | 2015-11-19 |
| 1477833135 | Children's Crisis Prevention Network, Inc. | Counselor | 7479 State Highway 19 S, Athens, TX 75751-8979 | 2011-08-25 |
| 1770863573 | Gregory Rawson Davis | Counselor | 210 Deertree Dr, Athens, GA 30605-4576 | 2011-08-24 |
| 1669782322 | Dale Michael Minor | Counselor | 8699 Terrell Road, Athens, OH 45701-9325 | 2010-10-15 |
| 1326226978 | Mary Jo Dowdy | Counselor | 2340 Prince Ave, Athens, GA 30606-6004 | 2008-02-06 |
| 1306052394 | Jennifer Leanne Gonyea | Counselor | 1690 S Milledge Ave, Athens, GA 30605-1453 | 2007-05-15 |
| 1043432917 | Nelda F Yee | Counselor | 165 E Dougherty St, Athens, GA 30601-2608 | 2007-05-02 |
| 1023156528 | Marlene J Scheck | Counselor | 9322b Johnson Road, Athens, OH 45701-9028 | 2007-02-05 |
| 1356418040 | Mary Rose Hilchey | Counselor | 123 Washington Ave, Restoration Counseling, Athens, TN 37371 | 2006-11-29 |
| Find all providers in ATHENS | ||||
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| 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.