Individual provider Active NPI

Nitza E Fontanez

  • Mental Health Counselor
  • West Palm Beach, FL
National Provider Identifier
1295577302
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
8895 N Military TRL Ste 300C
West Palm Beach, FL 33410-6279
Phone
(561) 244-9499
NPI assigned
Jun 10, 2024
Last updated
Jun 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary
Social Worker 104100000X

Addresses

Primary practice location

8895 N Military TRL Ste 300C
West Palm Beach, FL 33410-6279

Mailing address

2773 Emory Dr E Apt F
West Palm Beach, FL 33415-7999
Phone (561) 932-9442

Other practice location 1

5205 Greenwood Ave Ste 105
West Palm Beach, FL 33407-2400
Phone (561) 244-9499

Other practice location 2

2328 10th Ave N Ste 603
Lake Worth, FL 33461-6606
Phone (561) 244-9499

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

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Child Counseling, Inc CurrentSince Apr 20, 2021 Accepting new patients

Locations

5205 Greenwood Ave
Ste 105
West Palm Beach, FL 33407
Phone (561) 244-9499

8895 N Military Trl
Ste 300C
West Palm Beach, FL 33410
Phone (561) 244-9499

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1717977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1295577302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2773 EMORY DR E APT F",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334157999",
            "telephone_number": "561-932-9442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8895 N MILITARY TRL STE 300C",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334106279",
            "telephone_number": "561-244-9499"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5205 Greenwood Ave Ste 105",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334072400",
            "country_code": "US",
            "telephone_number": "561-244-9499",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2328 10th Ave N Ste 603",
            "address_purpose": "LOCATION",
            "city": "Lake Worth",
            "state": "FL",
            "postal_code": "334616606",
            "country_code": "US",
            "telephone_number": "561-244-9499",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FONTANEZ",
        "first_name": "NITZA",
        "middle_name": "E",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-10",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.