Active NPI
Amy Marie Fontenot
- Mental Health Counselor
- Santa Ana, CA
National Provider Identifier
1477683373
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 1221 E Dyer Rd
Suite 220
Santa Ana, CA 92705-5600 - Phone
- (714) 323-0471
- NPI assigned
- Mar 7, 2007
- Last updated
- Nov 16, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
1221 E Dyer Rd
Suite 220
Santa Ana, CA 92705-5600
Mailing address
1221 E Dyer Rd
Suite 220
Santa Ana, CA 92705-5600
Phone (714) 323-0471
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CSP | Past | Accepting new patients |
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.
-
- Case Management Agency
- Santa Ana, CA
- NPI 1992046601
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321401600000",
"number": "1477683373",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1221 E DYER RD",
"address_2": "SUITE 220",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927055600",
"telephone_number": "714-323-0471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1221 E DYER RD",
"address_2": "SUITE 220",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927055600",
"telephone_number": "714-323-0471"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FONTENOT",
"first_name": "AMY",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-07",
"last_updated": "2011-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Ana, CA
- FM Diagnostic Center Inc. (Aspen Physical Therapy and Rehab)
- Fna Clinics of America, Inc.
- Madeline Ruth Hunt Foerst
- Randy Fong, D.D.S.
- Cherry Anne Fontela, BSN, RN, PHN
- Iris Foo
- Footprints Behavioral Interventions, Inc. (Footprints Behavioral Interventions)
- Brandie Ford, RADT
- Cheryl Lynn Ford
- Forever Young Senior Living
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.