Valentin Fonov

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

681 E Koyuk Cir
Wasilla, AK 99654-8511

Phone

(907) 795-0258

NPI assigned

May 11, 2021

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1620691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620691200000",
    "number": "1760066161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10880 MAUSEL ST",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995778019",
            "telephone_number": "907-622-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "681 E KOYUK CIR",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996548511",
            "telephone_number": "907-795-0258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONOV",
        "first_name": "VALENTIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-11",
        "last_updated": "2021-05-11",
        "certification_date": "2021-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelley Anne Foley, FNP-BC
• Levi Brennon Folk
• Clarissa Beth Follmar
• Scott Folsom, DC
• Oksana Joy Fonov
• Forays
• John Francis Forbes, M.D.
• Sarah Forbush, LMT
• Forget Me Not Care Home
• Forget Me Not Homes, LLC

• All providers in Wasilla, AK
• Mental Health Counselor in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2021; 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.