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LETHA FERNANDEZ LMHC, CDP, DDMHS
NPI 1104975226
Counselor - Mental Health in Renton, WA

Active since January 09, 2007PECOS Enrolled
2503 CAMAS AVE NE, RENTON, WA 98056(206) 687-2863 Get Directions Write a Review

NPPES record last updated: August 14, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 14, 2018, Jun 14, 2016, Feb 23, 2016 (3 updates tracked since 2016).

About Letha Fernandez Lmhc, Cdp, Ddmhs NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LETHA FERNANDEZ LMHC, CDP, DDMHS (NPI 1104975226) is an individual mental health provider in Renton, Washington, licensed in Washington (LH60245300) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1104975226
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameLETHA FERNANDEZCredential: LMHC, CDP, DDMHS
Location Address2503 CAMAS AVE NERenton, WA 98056
Mailing Address2503 Camas Ave NeRenton, WA 98056-2226 · (206) 687-2863
Phone(206) 687-2863
Sole ProprietorYes
Enumeration DateJanuary 9, 2007
Last NPPES UpdateAugust 14, 20183 updates tracked since enumeration
✔ NPI 1104975226 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in WA · LH60245300
Also ListedCounselorTaxonomy 101Y00000X
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License CP60196695 (WA)
2503 CAMAS AVE NE, Renton, WA 98056
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Other Names 1

Other Name (5)Letha Fernandez Lmhc, Cdp, Ddmhs

Secondary Practice Locations 2

Location 114216 NE 21st StBellevue, WA 98007-3720 · Phone (425) 653-4900 · Fax (425) 653-4910
Location 26100 Southcenter BlvdTukwila, WA 98188-2442 · Phone (206) 444-7800 · Fax (206) 444-7810

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Letha Fernandez Lmhc, Cdp, Ddmhs is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions

What is Letha Fernandez's NPI number?

The NPI number assigned to this healthcare provider is 1104975226, enumerated as an "individual" on January 09, 2007.

Where is the provider located?

The provider is located at 2503 CAMAS AVE NE RENTON, WA 98056 and the phone number is (206) 687-2863.

What is the provider's specialty?

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.