Mary Fontana, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH3001712 Issued in WA

Practice address

1104 Main St
Suite 500
Vancouver, WA 98660-2999

Phone

(360) 696-3308

Fax

(360) 695-3436

NPI assigned

May 28, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Family Solutions Association

  • Clinic/Center
  • Vancouver, WA
  • NPI 1427117597
  NPD (past)

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336196088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 MAIN ST",
            "address_2": "SUITE 500",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986602999",
            "telephone_number": "360-696-3308",
            "fax_number": "360-695-3436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 MAIN ST",
            "address_2": "SUITE 500",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986602999",
            "telephone_number": "360-696-3308",
            "fax_number": "360-695-3436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONTANA",
        "first_name": "MARY",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MH3001712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherilyn Marie Foltz Cook, DO
• Lawrence Edward Foltz, D.O.
• Brian Fong
• Linda Newton Fong
• Patience Fontaine
• Anthony Junious Fontijn
• Ivana Foo
• Foot Comfort Technologies
• Alicia Ford, RD, LD, CDE
• Jeffrey Edward Ford, M.D.

• Mental Health Counselor in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.