MEDICARE: MS. KATHRYN FERNANDES LMHC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	9689	MA

General Provider Information

NPI Number	:	1831549807
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KATHRYN FERNANDES LMHC

Provider Business Mailing Address
First Line	:	PO BOX 915
Second Line	:
City	:	LAKEVILLE
State	:	MA
Zip	:	02347-0915
Country	:	US
Telephone Number	:	508-728-1149
Fax Number	:

Provider Business Practice Location Address
First Line	:	PO BOX 915
Second Line	:
City	:	LAKEVILLE
State	:	MA
Zip	:	02347-0915
Country	:	US
Telephone Number	:	508-728-1149
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/20/2016
Last Update Date	:	05/06/2026

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