Joan Lee Fontaine

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

1418 Issued in CO

Practice address

3500 Baltimore Ave
Pueblo, CO 81008-1543

Phone

(719) 545-1181

NPI assigned

Dec 27, 2006

Last updated

Dec 3, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Ms. Jody Lee Fontaine Other name

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": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291334400000",
    "number": "1891850053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8166 MAPLE DR",
            "city": "RYE",
            "state": "CO",
            "postal_code": "810698811",
            "telephone_number": "719-489-3438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 BALTIMORE AVE",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810081543",
            "telephone_number": "719-545-1181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONTAINE",
        "first_name": "JOAN",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-27",
        "last_updated": "2010-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "4236",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "1418",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPC",
            "identifier": "1418",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAC III",
            "identifier": "4236",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JODY",
            "last_name": "FONTAINE",
            "middle_name": "LEE",
            "prefix": "MS.",
            "credential": "LPC, CAC III",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Paula Flynn
• Randall Flynt, MDIV
• Kati Jo Foechterle, MS,AGACNP, FNP
• Chandler Follett, PHARMD
• Lee Michael Fonseca, NP-C
• For the Love of Me (Mona Moncibais)
• Jennifer E Forte, D.O.
• Michael Forte, D.O.
• Graisen Foster
• Jessica Leigh Foster, PMHNP-BC

• Mental Health Counselor in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Mental Health Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2010; 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.