MS. MARY ROSE FERNANDEZ LMHC
NPI 1265678965
Counselor - Mental Health in Brooklyn, NY
About Ms. Mary Rose Fernandez Lmhc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. MARY ROSE FERNANDEZ LMHC (NPI 1265678965) is an individual mental health provider in Brooklyn, New York, licensed in New York (004349-1) and active in the NPI registry since December 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2005).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ms. Mary Rose Fernandez Lmhc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Mary Fernandez reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Brooklyn, NY 11229
- Reassigned Medicare billing, New York enrollment
- 72 clinicians in this Medicare group
Brooklyn, NY 11214
- Reassigned Medicare billing, New York enrollment
- 9 clinicians in this Medicare group
Spring Valley, NY 10977
- Reassigned Medicare billing, New York enrollment
- Medicare enrollment name: Park Avenue Pediatrics PC
- 87 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Other Providers at the Same Location NPPES 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BROOKLYN, NY 11221
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 Mary Fernandez's NPI number?
The NPI number for Mary Fernandez is 1265678965. It was assigned to this individual provider in the NPPES registry on December 30, 2008. The provider is also known as Ms. Mary Rose Fernandez Lmhc.
Where is Mary Fernandez located?
Mary Fernandez practices at 48 Cedar St, Brooklyn, NY 11221. The listed phone number is (347) 330-9378.
What is Mary Fernandez's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Mary Fernandez enrolled in Medicare?
Yes. Mary Fernandez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Mary Fernandez's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mary Fernandez reassigns Medicare benefits to 3 organizations: Ilm Medical Care PLLC (Brooklyn, NY), Kings Medical Ny PC (Brooklyn, NY) and Park Avenue Pediatrics, P.C. (Spring Valley, NY). Each 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 Mary 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 Mary Fernandez was last updated on May 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Ms. Mary Rose Fernandez, LMHC · NPI 1265678965
Mental Health provider in Brooklyn, New York. Individual provider, active in the CMS NPPES registry since December 30, 2008.
## Identity
- **NPI:** 1265678965 (Entity type: Individual)
- **Enumerated:** December 30, 2008
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 004349-1 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 48 CEDAR ST, Brooklyn, NY 11221-3253
- **Phone:** (347) 330-9378
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Ilm Medical Care PLLC (NPI 1023442035, Brooklyn, NY); Kings Medical Ny PC (NPI 1144192816, Brooklyn, NY); Park Avenue Pediatrics, P.C. (NPI 1699969543, Spring Valley, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2005
## Record status
- **NPPES last updated:** May 17, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1265678965) · Data from the CMS NPPES public registry.