John Lamont Addington

Individual provider Active NPI Mental Health Counselor · Madera, CA

NPI 1215499322 · NPPES record last updated May 19, 2025

Key facts

NPI
1215499322
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
10535 Road 35
Madera, CA 93636-8487
Phone
(559) 437-1144
Fax
(559) 438-5004
NPI assigned
Apr 5, 2019
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Teen Ranch Case Manager/Care Coordinator Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Practitioner 225400000X
Mental Health Counselor 101YM0800X Yes
Case Manager/Care Coordinator 171M00000X CA

Addresses

Primary practice location

10535 Road 35
Madera, CA 93636-8487

Mailing address

2610 W Shaw LN Ste 105
Fresno, CA 93711-2775
Phone (559) 437-1144

Other providers in Madera, CA

All providers in Madera, CA · Mental Health Counselor in California

Sources for this page

Verify at the official NPI Registry.