JENNA SUE FOUNTAIN - NPI 1093582942 - Psychologist in Andover, KS

Q: What is Jenna Fountain's NPI number?

The NPI number for Jenna Fountain is 1093582942. It was assigned to this individual provider in the NPPES registry on December 11, 2023.

Q: What is Jenna Fountain's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Jenna Fountain was last updated on December 11, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Jenna Sue Fountain NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNA SUE FOUNTAIN (NPI 1093582942) is an individual clinical provider in Andover, Kansas, licensed in Kansas (03267-T) and active in the NPI registry since December 2023.

NPPES Registry Identity

NPI1093582942

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameJENNA SUE FOUNTAIN

Location Address221 E KING STAndover, KS 67002-8964

Mailing Address520 E Augusta AveAugusta, KS 67010-2100

Phone(316) 733-5047

Sole ProprietorNo

Enumeration DateDecember 11, 2023

NPPES CertifiedDecember 10, 2023

✔ NPI 1093582942 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in KS · 03267-T

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

221 E KING ST, Andover, KS 67002

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas, Inc..Insurance ›

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DANIELLE LEIGH FORBES TLMLP

Psychologist (Clinical)