Jessica Fitch

Individual provider Active NPI Day Training/Habilitation Specialist · Fort Bragg, CA

NPI 1801337480 · NPPES record last updated Apr 1, 2025

Key facts

NPI
1801337480
Entity type
Individual (NPI type 1)
Primary specialty
Day Training/Habilitation Specialist 373H00000X
Practice address
137 E Oak St
Fort Bragg, CA 95437-3610
Phone
(707) 961-0172
Fax
(844) 388-6167
NPI assigned
Mar 15, 2017
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Mendocino Coast Hospitality Center Past Accepting new patients
Mendocino Coast Hospitality Center Past
since Dec 22, 2024
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X
Day Training/Habilitation Specialist 373H00000X Yes

Addresses

Primary practice location

137 E Oak St
Fort Bragg, CA 95437-3610

Mailing address

PO Box 2168
Fort Bragg, CA 95437-2168
Phone (707) 961-0172

Other providers in Fort Bragg, CA

All providers in Fort Bragg, CA · Day Training/Habilitation Specialist in California

Sources for this page

Verify at the official NPI Registry.