Active NPI
Jessica Lynne Fonte, LAC
- Counselor
- Alpine, CA
National Provider Identifier
1295915064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- LPCC2888
- Practice address
- 2120 Alpine Blvd.
Alpine Special Treatment Center
Alpine, CA 91901 - Phone
- (619) 659-3120
- Fax
- (619) 445-0444
- NPI assigned
- Nov 9, 2007
- Last updated
- May 27, 2016
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Counselor | 101Y00000X | LPCC2888 | CA | Primary |
Addresses
Primary practice location
2120 Alpine Blvd.
Alpine Special Treatment Center
Alpine, CA 91901
Mailing address
2400 S 48TH St
Springdale, AR 72762-6683
Phone (479) 750-2020
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 |
|---|---|---|---|
| LPCC2888 | CA | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464307200000",
"number": "1295915064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2400 S 48TH ST",
"city": "SPRINGDALE",
"state": "AR",
"postal_code": "727626683",
"telephone_number": "479-750-2020",
"fax_number": "479-872-2441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2120 ALPINE BLVD.",
"address_2": "ALPINE SPECIAL TREATMENT CENTER",
"city": "ALPINE",
"state": "CA",
"postal_code": "91901",
"telephone_number": "619-659-3120",
"fax_number": "619-445-0444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FONTE",
"first_name": "JESSICA",
"middle_name": "LYNNE",
"credential": "LAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-09",
"last_updated": "2016-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "CA",
"license": "LPCC2888",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alpine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.