JENNIFER FONTAINE NPI 1932408341

NPI Information

NPI: 1932408341
Provider Name: JENNIFER FONTAINE
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
205 BURLINGTON RD
BEDFORD, MA
ZIP 01730
Phone: (781) 760-5089
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Jennifer Fontaine is a mental health counselor in Bedford, MA. Jennifer Fontaine NPI is 1932408341. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

205 BURLINGTON RD
BEDFORD, MA
ZIP 01730-406
Phone: (781) 760-5089

The enumeration date for this NPI number is 3/24/2011 and was last updated on 3/30/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	99618201	OTHER	MASSACHUSETTS	NETWORK HEALTH
2	1004745	OTHER	MASSACHUSETTS	NHP
3	1004745	OTHER	MASSACHUSETTS	FALLON
4	0000023532	OTHER	MASSACHUSETTS	BMC
5	110026265	MEDICAID	MASSACHUSETTS
6	1303287	OTHER	MASSACHUSETTS	MBHP
7	M18633	OTHER	MASSACHUSETTS	BCBS
8	042611055	OTHER	MASSACHUSETTS	TAX ID

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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