Jacob Joseph Fontes, MA
Counselor, Mental Health in Lodi, CA. Individual provider (NPI-1).
NPI number1497585830
StatusActive
Last updated in NPPESAug 1, 2024
Details
- NPI
- 1497585830
- Entity type
- Individual (NPI-1)
- Name
- Mr. Jacob Joseph Fontes
- Credential
- MA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 1, 2024
- Certification date
- Aug 1, 2024
- Last updated
- Aug 1, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | APCC13232 | CA | Yes |
Practice location
1305 E Vine StLodi, CA 95240-3148
Phone 209-331-7000
Mailing address
8696 Songbird WayHilmar, CA 95324-9795
Phone 209-485-1189
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 31 Mental Health Counselor providers in Lodi · All 1,321 providers in Lodi
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