Arriel Fontanez, LPC, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

003136 Issued in CT

Legal business name

ARRIEL FONTANEZ, LPC, LLC

Practice address

59 Deming Rd
Berlin, CT 06037-1512

Phone

(860) 759-0924

NPI assigned

Jan 25, 2018

Last updated

Jan 25, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Arriel Fontanez, LPC

Title

Licensed Professional Counselor

Phone

(860) 759-0924

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1516838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516838400000",
    "number": "1992203889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 LITTLE RIVER LN",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064576310",
            "telephone_number": "860-759-0924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 DEMING RD",
            "city": "BERLIN",
            "state": "CT",
            "postal_code": "060371512",
            "telephone_number": "860-759-0924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARRIEL FONTANEZ, LPC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-25",
        "last_updated": "2018-01-25",
        "status": "A",
        "authorized_official_last_name": "FONTANEZ",
        "authorized_official_first_name": "ARRIEL",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "860-759-0924",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "003136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Berlin, CT
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• Professional Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2018; 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.