Individual provider Active NPI

Ryan Jennifer Fontaine, MA, LMHC

  • Mental Health Counselor
  • Altamonte Springs, FL
National Provider Identifier
1568780435
Registry record updated May 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH11559 Issued in FL
Practice address
460 W Central Pkwy
Altamonte Springs, FL 32714-2415
Phone
(407) 545-2413
NPI assigned
May 17, 2010
Last updated
May 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH11559 FL Primary

Addresses

Primary practice location

460 W Central Pkwy
Altamonte Springs, FL 32714-2415

Mailing address

1015 Arthur Ave
Orlando, FL 32804-2826
Phone (407) 739-5561

Other practice location 1

1015 Arthur Ave
Orlando, FL 32804-2826
Phone (407) 545-2413

Other practice location 2

465 Maitland Ave
Altamonte Springs, FL 32701-5444
Phone (407) 545-2413

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240126002057 FL Practitioner - Mental Health Counselor 1153774039 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Moore Consulting Holdings, LLCGroup PAC ID 6103248000, 11 clinicians
Eden Wellness Counseling LLCGroup PAC ID 0941704993, 2 clinicians

Practice addresses (Care Compare)

213 S Dillard St
Suite 120B
Winter Garden, FL 34787-3596
Phone (407) 734-3338

460 W Central Pkwy
Altamonte Springs, FL 32714-2415
Phone (407) 545-2413

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Moore Consulting Holdings, LLC Mental Health CurrentSince Feb 12, 2025 Accepting new patients
Eden Wellness Counseling LLC Mental Health CurrentSince Aug 1, 2025 Accepting new patients

Locations

465 Maitland Ave
#16
Altamonte Springs, FL 32701
Phone (321) 616-7225

460 W Central Pkwy
Altamonte Springs, FL 32714
Phone (407) 339-7676

465 Maitland Ave
Altamonte Springs, FL 32701
Phone (321) 251-4919

213 S Dillard St
Ste 120B
Winter Garden, FL 34787
Phone (407) 734-3338

Organizations & group practices 2

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": "1274054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779580800000",
    "number": "1568780435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 ARTHUR AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328042826",
            "telephone_number": "407-739-5561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 W CENTRAL PKWY",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327142415",
            "telephone_number": "407-545-2413"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1015 Arthur Ave",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328042826",
            "country_code": "US",
            "telephone_number": "407-545-2413",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "465 Maitland Ave",
            "address_purpose": "LOCATION",
            "city": "Altamonte Springs",
            "state": "FL",
            "postal_code": "327015444",
            "country_code": "US",
            "telephone_number": "407-545-2413",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FONTAINE",
        "first_name": "RYAN",
        "middle_name": "JENNIFER",
        "name_prefix": "Ms.",
        "credential": "MA, LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-17",
        "last_updated": "2026-05-24",
        "certification_date": "2026-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH11559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

Verify at the official NPI Registry.