ANDERSON FERNANDERS – Counselor, NPI 1518466366

ANDERSON FERNANDERS is a healthcare provider. based in Lafayette hill, Pennsylvania. specializing in MENTAL HEALTH COUNSELOR. They hold a License No. 6401016723 (MI). The NPI Number for ANDERSON FERNANDERS is 1518466366

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
ANDERSON FERNANDERS
NPI
1518466366
Phone
(313) 278-2327
Address
620 GERMANTOWN PIKE
Enumeration Date
7 February 2018
Last Update Date
5 September 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2485293167
Graduation Year
2011 (15 years ago)
PAC ID
6103364476
Group Practice PAC ID
0446503130
Professional Enrollment ID
I20240817000114
Address ID
MI483574573HI210XXRDXX403
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

2,023 MENTAL HEALTH COUNSELOR in MI

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Provider Addresses for ANDERSON FERNANDERS

  • 620 GERMANTOWN PIKE

    LAFAYETTE HILL, PA 194441810

    Phone: (313) 278-2327

    Type: Mailing

  • 3231, South Gulley Road, Dearborn, Wayne County, Michigan, 48124, United States

    DEARBORN, MI 48124

    Phone: (313) 278-2327

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-08-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240817000114IMental Health CounselorMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 19444)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0446503130View full group profile
NameSpecialtyState
Mental Health CounselorMI
Clinical Social WorkerMI
Clinical Social WorkerMI
Clinical Social WorkerMI
Mental Health CounselorMI
Mental Health CounselorMI
Clinical Social WorkerMI
Clinical Social WorkerMI
Clinical Social WorkerMI
Mental Health CounselorMI

Reviews

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Frequently asked questions

How do I look up ANDERSON FERNANDERS by NPI?
Use NPI 1518466366 when you need to reference ANDERSON FERNANDERS in forms, claims, or directories.
Does this profile mean ANDERSON FERNANDERS is currently active?
Yes — ANDERSON FERNANDERS appears active in the national provider directory.
What does ANDERSON FERNANDERS treat or focus on?
Patients typically see ANDERSON FERNANDERS under the specialty Counselor. Clinical services aligned with this taxonomy classification.
What location shows for ANDERSON FERNANDERS?
We surface Lafayette Hill, Pennsylvania for ANDERSON FERNANDERS based on available NPPES addresses.
Is ANDERSON FERNANDERS a real provider?
This page reflects official NPPES data for NPI 1518466366. Always confirm identity and privileges with the practice and licensing boards.

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