Richard Fontenot, M.A., M.F.T.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

48187 Issued in CA

Practice address

1500 S McDonnell Ave
Los Angeles, CA 90040-5623

Phone

(323) 981-4301

NPI assigned

Dec 20, 2006

Last updated

Jun 11, 2009By the provider in NPPES

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

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Grow Healthcare Group PC

  • Mental Health Counselor
  • San Jose, CA
  • NPI 1154994846
  Medicare reassignment NPD
• Redds Ambulance Service Inc

  dba Redd's Ambulance Service

  • Land Ambulance
  • Beaumont, TX
  • NPI 1376576553
  NPD (past) Authorized official

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244678400000",
    "number": "1952465312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 S ST ANDREWS PL",
            "address_2": "PENTHOUSE 509",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900053098",
            "telephone_number": "323-981-4301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S MCDONNELL AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900405623",
            "telephone_number": "323-981-4301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONTENOT",
        "first_name": "RICHARD",
        "name_prefix": "Mr.",
        "credential": "M.A., M.F.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-20",
        "last_updated": "2009-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "48187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Fontanez, B.A.
• Charisse Fontanilla, MSW
• Fe V Fontanilla, RN
• Maria Jesus Fontecilla Enriquez
• Azelina Fontenot
• Denise Marie Fontes
• Laura Marie Fontes, BS
• Sylvia Fonticiella
• Matthew Joshua Fontila
• Food and Mirth

• Mental Health Counselor in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.