Active NPI
Mathew Gregory Fontes, MA
- Marriage & Family Therapist
- Colusa, CA
National Provider Identifier
1952701732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LMFT138254
- Practice address
- 3710 Highway 45
Colusa, CA 95932-4026 - Phone
- (530) 458-5501
- Fax
- (530) 458-8660
- NPI assigned
- Aug 28, 2014
- Last updated
- Mar 3, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH12762 | FL | |
| Mental Health Counselor | 101YM0800X | LPCC8490 | CA | |
| Marriage & Family Therapist | 106H00000X | MT3972 | FL | |
| Marriage & Family Therapist | 106H00000X | LMFT138254 | CA | Primary |
Addresses
Primary practice location
3710 Highway 45
Colusa, CA 95932-4026
Mailing address
3710 Highway 45
Colusa, CA 95932-4026
Phone (530) 458-5501
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPCC8490 | CA | MD | Mental Health Counselor |
| MH12762 | FL | MD | Mental Health Counselor |
| LMFT138254 | CA | MD | Marriage & Family Therapist |
| MT3972 | FL | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677801600000",
"number": "1952701732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3710 HIGHWAY 45",
"city": "COLUSA",
"state": "CA",
"postal_code": "959324026",
"telephone_number": "530-458-5501",
"fax_number": "530-458-8660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3710 HIGHWAY 45",
"city": "COLUSA",
"state": "CA",
"postal_code": "959324026",
"telephone_number": "530-458-5501",
"fax_number": "530-458-8660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FONTES",
"first_name": "MATHEW",
"middle_name": "GREGORY",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-08-28",
"last_updated": "2023-03-03",
"certification_date": "2023-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH12762",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "LPCC8490",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "FL",
"license": "MT3972",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "LMFT138254",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Colusa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.