REBECCA FERNANDEZ LCPC
NPI 1881207710
Counselor - Professional in Chicago, IL

Active since August 29, 2020Opted out of Medicare · through Jan 1, 2028
2755 N PINE GROVE AVE, CHICAGO, IL 60614(312) 219-4684 Get Directions Write a Review

NPPES record last updated: May 24, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 24, 2022, Jul 6, 2021, Aug 29, 2020 (3 updates tracked since 2020).

About Rebecca Fernandez Lcpc NPPES

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

REBECCA FERNANDEZ LCPC (NPI 1881207710) is an individual professional provider in Chicago, Illinois, licensed in Illinois (180013711) and active in the NPI registry since August 2020. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1881207710
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameREBECCA FERNANDEZCredential: LCPC
Location Address2755 N PINE GROVE AVEChicago, IL 60614-6109
Mailing Address1450 N Astor St Apt 7aChicago, IL 60610-5704 · (262) 422-1794
Sole ProprietorNo
Enumeration DateAugust 29, 2020
Last NPPES UpdateMay 24, 20223 updates tracked since enumeration
NPPES CertifiedMay 24, 2022
NPI 1881207710 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses Licensed in IL · 180013711 Licensed in IL · 178014861
2755 N PINE GROVE AVE, Chicago, IL 60614

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Rebecca Fernandez Lcpc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

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.

Psychologist
2755 N PINE GROVE AVE
CHICAGO, IL 60614
Marriage & Family Therapist
2755 N PINE GROVE AVE
CHICAGO, IL 60614
Counselor (Professional)
2755 N PINE GROVE AVE
CHICAGO, IL 60614
Counselor (Mental Health)
2755 N PINE GROVE AVE
CHICAGO, IL 60614
Counselor
2755 N PINE GROVE AVE
CHICAGO, IL 60614
Counselor (Mental Health)
2755 N PINE GROVE AVE
CHICAGO, IL 60614
Counselor (Mental Health)
2755 N PINE GROVE AVE
CHICAGO, IL 60614
Marriage & Family Therapist
2755 N PINE GROVE AVE
CHICAGO, IL 60614

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 Rebecca Fernandez's NPI number?

The NPI number for Rebecca Fernandez is 1881207710. It was assigned to this individual provider in the NPPES registry on August 29, 2020.

Where is Rebecca Fernandez located?

Rebecca Fernandez practices at 2755 N Pine Grove Ave, Chicago, IL 60614. The listed phone number is (312) 219-4684.

What is Rebecca Fernandez's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Rebecca Fernandez enrolled in Medicare?

No. Rebecca Fernandez has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Rebecca Fernandez was last updated on May 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.