John Fontenot, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

77453 Issued in TX

Practice address

1002 Gemini St Ste 205
Houston, TX 77058-2807

Phone

(281) 218-8181

NPI assigned

Jul 24, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Medical Psychology Associates, PC

  • Clinical Neuropsychologist
  • Friendswood, TX
  • NPI 1700926805

  Single Specialty

  NPD
• Robert N Earle MD PA

  • Psychiatry Physician
  • Friendswood, TX
  • NPI 1508848649

  Single Specialty

  NPD

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

{
    "created_epoch": "1563926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563926400000",
    "number": "1750934147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 GEMINI ST STE 205",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770582807",
            "telephone_number": "281-218-8181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 GEMINI ST STE 205",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770582807",
            "telephone_number": "281-218-8181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONTENOT",
        "first_name": "JOHN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-24",
        "last_updated": "2019-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "77453",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1508848649",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Houston",
            "affiliation": "N",
            "address_1": "1002 Gemini St Ste 205",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770582807",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Dustin Kyle Fontenot, CRNA
• Felecia Fontenot
• Gabrielle Fontenot
• James T Fontenot, M.D.
• Janell Fontenot
• Lauren Fontenot
• Logan Jacob Fontenot, CRNA
• Melissa P Fontenot, LPC
• Rebekah Denise Fontenot, D.P.M.
• Terran Eugene Fontenot, LMSW

• Professional Counselor in Houston, TX
• Providers in Houston, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2019; 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.