Active NPI
Jessica Fontenot, LPC, LRC
- Professional Counselor
- Lafayette, LA
National Provider Identifier
1063887131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 730
- Practice address
- 315 S College Rd
Suite 220
Lafayette, LA 70503-3212 - Phone
- (337) 456-7880
- Fax
- (337) 456-7882
- NPI assigned
- Dec 1, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 730 | LA | Primary |
| Mental Health Counselor | 101YM0800X | 4651 | LA |
Addresses
Primary practice location
315 S College Rd
Suite 220
Lafayette, LA 70503-3212
Mailing address
315 S College Rd
Suite 220
Lafayette, LA 70503-3212
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 730 | LA | MD | Marriage & Family Therapist |
| 4651 | LA | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1448928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456185600000",
"number": "1063887131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "315 S COLLEGE RD",
"address_2": "SUITE 220",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705033212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 S COLLEGE RD",
"address_2": "SUITE 220",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705033212",
"telephone_number": "337-456-7880",
"fax_number": "337-456-7882"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FONTENOT",
"first_name": "JESSICA",
"credential": "LPC, LRC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-12-01",
"last_updated": "2016-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "LA",
"license": "730",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "LA",
"license": "4651",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lafayette, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.