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KEVIN JOSE FERNANDEZ LMFT
NPI 1255840518
Marriage & Family Therapist in Los Angeles, CA

Active since September 29, 2017PECOS Enrolled
631A MAPLE AVE, LOS ANGELES, CA 90014(213) 549-0376 Get Directions Write a Review

NPPES record last updated: September 30, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 27, 2023, Feb 17, 2022 (2 updates tracked since 2022).

About Kevin Jose Fernandez Lmft NPPES

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

KEVIN JOSE FERNANDEZ LMFT (NPI 1255840518) is an individual marriage & family therapist in Los Angeles, California, licensed in California (150855) and active in the NPI registry since September 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1255840518
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameKEVIN JOSE FERNANDEZCredential: LMFT
Location Address631A MAPLE AVELos Angeles, CA 90014-2211
Mailing Address631a Maple AveLos Angeles, CA 90014-2211 · (213) 549-0376
Phone(213) 549-0376
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateSeptember 29, 2017
Last NPPES UpdateSeptember 30, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2025
✔ NPI 1255840518 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · 150855
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
Also ListedRehabilitation PractitionerTaxonomy 225400000X
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
631A MAPLE AVE, Los Angeles, CA 90014
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kevin Jose Fernandez Lmft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8628534591
PECOS Enrollment IDI20260730003544
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.

Medicare Billing Reassignment

Medicare enrollment records show Kevin Fernandez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Los Angeles County Department Of Mental Health
Same address
Mental Health (Including Community Mental Health Center)
631-B MAPLE AVE
Los Angeles, CA 90014
  • Reassigned Medicare billing, California enrollment
  • 533 clinicians in this Medicare group
NPI 1558581389 (213) 673-3001

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 10

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

DR. MICHAEL RUIZ PSY.D.
Psychologist
631A MAPLE AVE
LOS ANGELES, CA 90014
Los Angeles County (213) 673-3002
DR. MELANIE ENGLISH PSB94027775
Psychologist (Clinical)
631A MAPLE AVE
LOS ANGELES, CA 90014
Los Angeles County (213) 673-3036
FELIX AGUILAR
Rehabilitation Practitioner
631A MAPLE AVE
LOS ANGELES, CA 90014
Los Angeles County (213) 673-3002
TIFFANY CHEUK
Social Worker (Clinical)
631A MAPLE AVE
LOS ANGELES, CA 90014
Los Angeles County (213) 673-3002
THALIA FRANCO
Rehabilitation Practitioner
631A MAPLE AVE
LOS ANGELES, CA 90014
Los Angeles County (213) 673-3002
JENNIFER RIVERA
Case Manager/Care Coordinator
631A MAPLE AVE
LOS ANGELES, CA 90014
Los Angeles County (213) 673-3002
MISS ANITA M TAKAHASHI MSW, LCSW
Social Worker (Clinical)
631A MAPLE AVE
LOS ANGELES, CA 90014
Los Angeles County (213) 637-3049
MRS. VANESSA MARIE BUSTOS
Community Health Worker
631A MAPLE AVE
LOS ANGELES, CA 90014
Los Angeles County (213) 561-1975

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 Kevin Fernandez's NPI number?

The NPI number for Kevin Fernandez is 1255840518. It was assigned to this individual provider in the NPPES registry on September 29, 2017.

Where is Kevin Fernandez located?

Kevin Fernandez practices at 631A Maple Ave, Los Angeles, CA 90014. The listed phone number is (213) 549-0376.

What is Kevin Fernandez's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Kevin Fernandez enrolled in Medicare?

Yes. Kevin Fernandez is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kevin Fernandez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Fernandez reassigns Medicare benefits to Los Angeles County Department Of Mental Health (Los Angeles, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kevin Fernandez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kevin Fernandez was last updated on September 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.