MS. BEVERLY FERNANDEZ PSY. M, CCBT, CCTS-I
NPI 1174025563
Counselor in Woodbridge, NJ

Active since March 01, 2018
55 BROOK ST, WOODBRIDGE, NJ 07095(678) 462-5274 Get Directions Write a Review

NPPES record last updated: May 16, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 16, 2026, Apr 16, 2024, Sep 22, 2020 and 2 more (5 updates tracked since 2018).

About Ms. Beverly Fernandez Psy. M, Ccbt, Ccts-i NPPES

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

MS. BEVERLY FERNANDEZ PSY. M, CCBT, CCTS-I (NPI 1174025563) is an individual counselor in Woodbridge, New Jersey and active in the NPI registry since March 2018.

NPPES Registry Identity

NPI1174025563
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameMS. BEVERLY FERNANDEZCredential: PSY. M, CCBT, CCTS-I
Location Address55 BROOK STWoodbridge, NJ 07095-2946
Mailing Address447 Broadway Ste 443New York, NY 10013-2562 · (347) 229-9907
Sole ProprietorYes
Enumeration DateMarch 1, 2018
Last NPPES UpdateMay 16, 20265 updates tracked since enumeration
NPPES CertifiedMay 16, 2026
NPI 1174025563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
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.
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
55 BROOK ST, Woodbridge, NJ 07095

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Beverly Fernandez's NPI number?

The NPI number for Beverly Fernandez is 1174025563. It was assigned to this individual provider in the NPPES registry on March 1, 2018.

Where is Beverly Fernandez located?

Beverly Fernandez practices at 55 Brook St, Woodbridge, NJ 07095. The listed phone number is (678) 462-5274.

What is Beverly Fernandez's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Beverly Fernandez was last updated on May 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.