1. Home
  2. Directory
  3. Illinois
  4. Chicago
  5. Counselor
  6. NPI Profile

ROSE FERNANDEZ CSADC - MISA 11
NPI 1205377785
Counselor - Addiction (Substance Use Disorder) in Chicago, IL

Active since March 16, 2017
7124 W GRAND AVE, CHICAGO, IL 60707(773) 598-8540(773) 569-3423 Get Directions Write a Review

NPPES record last updated: March 16, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Rose Fernandez Csadc - Misa 11 NPPES

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

ROSE FERNANDEZ CSADC - MISA 11 (NPI 1205377785) is an individual addiction (substance use disorder) provider in Chicago, Illinois, licensed in Illinois (18705) and active in the NPI registry since March 2017.

NPPES Registry Identity

NPI1205377785
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameROSE FERNANDEZCredential: CSADC - MISA 11
Location Address7124 W GRAND AVEChicago, IL 60707-2805
Mailing Address7124 W Grand AveChicago, IL 60707-2805 · (773) 598-8540 · Fax (773) 569-3423
Phone(773) 598-8540
Fax(773) 569-3423
Sole ProprietorYes
Enumeration DateMarch 16, 2017
✔ NPI 1205377785 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in IL · 18705
7124 W GRAND AVE, Chicago, IL 60707
Open in Google Maps ↗

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STRIVE TO SERENITY, LLC
Clinic/Center (Adult Mental Health)
7124 W GRAND AVE
CHICAGO, IL 60707
Cook County (773) 413-7534
ISABELITA HERNANDEZ C.A.D.C
Counselor (Addiction (Substance Use Disorder))
7124 W GRAND AVE
CHICAGO, IL 60707
Cook County (773) 598-8540
MARY VELEZ
Licensed Practical Nurse
7124 W GRAND AVE
CHICAGO, IL 60707
Cook County (773) 598-8540
STRIVE TO SERENITY, LLC
Preventive Medicine (Medical Toxicology)
7124 W GRAND AVE
CHICAGO, IL 60707
Cook County (773) 413-7534
ST MICHAELS COUNSELING CENTER
Case Management
7124 W GRAND AVE
CHICAGO, IL 60707
Cook County (773) 598-8540
MICHELE MIGHTY
Counselor (Addiction (Substance Use Disorder))
7124 W GRAND AVE
CHICAGO, IL 60707
Cook County (773) 413-7534
STRIVE TO SERENITY, LLC
Clinic/Center (Rehabilitation, Substance Use Disorder)
7124 W GRAND AVE
CHICAGO, IL 60707
Cook County (773) 552-2769

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 Rose Fernandez's NPI number?

The NPI number for Rose Fernandez is 1205377785. It was assigned to this individual provider in the NPPES registry on March 16, 2017.

Where is Rose Fernandez located?

Rose Fernandez practices at 7124 W Grand Ave, Chicago, IL 60707. The listed phone number is (773) 598-8540.

What is Rose Fernandez's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Rose Fernandez was last updated on March 16, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.