Individual provider Active NPI

Brigid Walker Fonteix, LMFT

  • Marriage & Family Therapist
  • Bensalem, PA
National Provider Identifier
1225743198
Registry record updated Jul 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MF001139 Issued in PA
Practice address
2617 Street Rd # 316
Bensalem, PA 19020-2864
Phone
(267) 627-0076
NPI assigned
Jan 16, 2023
Last updated
Jul 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MF001139 PA Primary

Addresses

Primary practice location

2617 Street Rd # 316
Bensalem, PA 19020-2864

Mailing address

2617 Street Rd # 316
Bensalem, PA 19020-2864

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 24, 2024 through Mar 24, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MF001139PAMDMarriage & Family Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1673827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688342400000",
    "number": "1225743198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2617 STREET RD # 316",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190202864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2617 STREET RD # 316",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190202864",
            "telephone_number": "267-627-0076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONTEIX",
        "first_name": "BRIGID",
        "middle_name": "WALKER",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-16",
        "last_updated": "2023-07-03",
        "certification_date": "2023-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "PA",
            "license": "MF001139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bensalem, PA

Sources for this page

Verify at the official NPI Registry.