Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Marisa Kelly Rose Fernandez

Individual provider Mental Health Counselor · NPI 1871293944

Marisa Kelly Rose Fernandez is a Mental Health Counselor in Bellingham, Washington. Qualified in 2024, 2 years ago. Practices with Unity Care Northwest, a 41-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
2
Licensed in
WA
In the registry since
2023
Specialties on file
3
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Practice location Address checks out

1616 Cornwall Ave Ste 205
Bellingham, WA 98225-4642
Phone: (360) 676-6177
Fax: (360) 671-3574
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence MC61588298 (WA)
Mental Health Counselor Taxonomy 101YM0800X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1871293944
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 7, 2023
Last updated in NPPESJuly 17, 2024
Certification dateJuly 17, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Unity Care Northwest — 41 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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