1. Home
  2. Directory
  3. Florida
  4. Pembroke Pines
  5. Counselor
  6. NPI Profile

JORGE FERNANDEZ
NPI 1730715590
Counselor - Mental Health in Pembroke Pines, FL

Active since March 12, 2020PECOS Enrolled
9050 PINES BLVD STE 305, PEMBROKE PINES, FL 33024(754) 704-6867 Get Directions Write a Review

NPPES record last updated: March 4, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 4, 2026, Mar 12, 2020 (2 updates tracked since 2020).

About Jorge Fernandez NPPES

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

JORGE FERNANDEZ (NPI 1730715590) is an individual mental health provider in Pembroke Pines, Florida, licensed in Florida (27391) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1730715590
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJORGE FERNANDEZ
Location Address9050 PINES BLVD STE 305Pembroke Pines, FL 33024-6422
Mailing Address17945 Sw 97th Ave Apt 248Palmetto Bay, FL 33157-5439 · (786) 391-7914
Phone(754) 704-6867
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateMarch 12, 2020
Last NPPES UpdateMarch 4, 20262 updates tracked since enumeration
NPPES CertifiedMarch 4, 2026
✔ NPI 1730715590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in FL · 27391
9050 PINES BLVD STE 305, Pembroke Pines, FL 33024
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID6204304348
PECOS Enrollment IDI20260506002919
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.

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.

KARI-ANNE SPAULDING
Counselor (Mental Health)
9050 PINES BLVD STE 305
PEMBROKE PINES, FL 33024
Broward County (754) 704-6867
VM COUNSELING SERVICES INC.
Clinic/Center (Mental Health (Including Community Mental Health Center))
9050 PINES BLVD STE 305
PEMBROKE PINES, FL 33024
Broward County (754) 704-6867
SABRINA RIOS
Counselor (Mental Health)
9050 PINES BLVD STE 305
PEMBROKE PINES, FL 33024
Broward County (754) 283-9665
RICARDO BONES
Counselor (Mental Health)
9050 PINES BLVD STE 305
PEMBROKE PINES, FL 33024
Broward County (754) 704-6867
MS. ROCIO RODRIGUEZ LMHC
Counselor (Mental Health)
9050 PINES BLVD STE 305
PEMBROKE PINES, FL 33024
Broward County (954) 634-2637
DANIELA VICTORIA BAEZ AMADOR
Social Worker (Clinical)
9050 PINES BLVD STE 305
PEMBROKE PINES, FL 33024
Broward County (754) 283-9665
DENICE COSTELLO RCSWI
Social Worker (Clinical)
9050 PINES BLVD STE 305
PEMBROKE PINES, FL 33024
Broward County (754) 704-6867
JENNIFER ROSE GARRIOTT LCSW
Social Worker (Clinical)
9050 PINES BLVD STE 305
PEMBROKE PINES, FL 33024
Broward County (630) 205-4664

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 Jorge Fernandez's NPI number?

The NPI number for Jorge Fernandez is 1730715590. It was assigned to this individual provider in the NPPES registry on March 12, 2020.

Where is Jorge Fernandez located?

Jorge Fernandez practices at 9050 Pines Blvd Ste 305, Pembroke Pines, FL 33024. The listed phone number is (754) 704-6867.

What is Jorge Fernandez's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Jorge Fernandez enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jorge Fernandez was last updated on March 4, 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.