MARISA KELLY ROSE FERNANDEZ
NPI 1871293944
Counselor - Mental Health in Bellingham, WA

Q: What is Marisa Fernandez's NPI number?

The NPI number for Marisa Fernandez is 1871293944. It was assigned to this individual provider in the NPPES registry on March 7, 2023.

Q: What is Marisa Fernandez's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Marisa Fernandez was last updated on July 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since March 07, 2023PECOS EnrolledAccepts Medicare Assignment

1616 CORNWALL AVE STE 205, BELLINGHAM, WA 98225(360) 676-6177(360) 671-3574 Get Directions Write a Review

NPPES record last updated: July 17, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 17, 2024, Jun 26, 2024, Mar 7, 2023 (3 updates tracked since 2023).

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About Marisa Kelly Rose Fernandez NPPES

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

MARISA KELLY ROSE FERNANDEZ (NPI 1871293944) is an individual mental health provider in Bellingham, Washington, licensed in Washington (MC61588298) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1871293944

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameMARISA KELLY ROSE FERNANDEZ

Location Address1616 CORNWALL AVE STE 205Bellingham, WA 98225-4642

Mailing Address2215 Wildflower WayBellingham, WA 98229-5364 · (831) 241-8792

Phone(360) 676-6177

Fax(360) 671-3574

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateMarch 7, 2023

Last NPPES UpdateJuly 17, 20243 updates tracked since enumeration

NPPES CertifiedJuly 17, 2024

✔ NPI 1871293944 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in WA · MC61588298

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1616 CORNWALL AVE STE 205, Bellingham, WA 98225

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Marisa Kelly Rose Fernandez 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.

PECOS PAC ID1456827377

PECOS Enrollment IDI20260417003064

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 20

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

COURTNEY ROBINSON SCHICK DMD

Dentist (General Practice)