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KELSI FONTAINE LPC, NCC
NPI 1194459453
Counselor - Professional in Blooming Glen, PA

Active since July 13, 2022Opted out of Medicare · through Oct 15, 2027
818 BLOOMING GLEN RD., P.O. BOX 43, BLOOMING GLEN, PA 18911(267) 343-9099 Get Directions Write a Review

NPPES record last updated: October 9, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 9, 2024, Jul 13, 2022 (2 updates tracked since 2022).

About Kelsi Fontaine Lpc, Ncc NPPES

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

KELSI FONTAINE LPC, NCC (NPI 1194459453) is an individual professional provider in Blooming Glen, Pennsylvania and active in the NPI registry since July 2022. She has opted out of Medicare through October 15, 2027.

NPPES Registry Identity

NPI1194459453
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKELSI FONTAINECredential: LPC, NCC
Location Address818 BLOOMING GLEN RD., P.O. BOX 43Blooming Glen, PA 18911-3414
Mailing Address818 Blooming Glen Rd., P.o. Box 43Blooming Glen, PA 18911-3414
Phone(267) 343-9099
Sole ProprietorNo
Enumeration DateJuly 13, 2022
Last NPPES UpdateOctober 9, 20242 updates tracked since enumeration
NPPES CertifiedOctober 9, 2024
✔ NPI 1194459453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
818 BLOOMING GLEN RD., Blooming Glen, PA 18911
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Kelsi Fontaine Lpc, Ncc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 15, 2025 through October 15, 2027.

Opt-Out Effective DateOctober 15, 2025
Opt-Out In Effect ThroughOctober 15, 2027Opt-out affidavits renew automatically every two years unless cancelled

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelsi Fontaine's NPI number?

The NPI number for Kelsi Fontaine is 1194459453. It was assigned to this individual provider in the NPPES registry on July 13, 2022.

Where is Kelsi Fontaine located?

Kelsi Fontaine practices at 818 Blooming Glen Rd. P.O. Box 43, Blooming Glen, PA 18911. The listed phone number is (267) 343-9099.

What is Kelsi Fontaine's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Kelsi Fontaine enrolled in Medicare?

No. Kelsi Fontaine has opted out of Medicare through October 15, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Kelsi Fontaine accept?

Health plans from Providence Health Plan list Kelsi Fontaine as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kelsi Fontaine was last updated on October 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.