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MISS FONG CHAN MSW
NPI 1336479914
Counselor - Mental Health in Lexington, MA

Active since January 05, 2010PECOS EnrolledAccepts Medicare Assignment
1040 WALTHAM ST, LEXINGTON, MA 02421(781) 862-3600(781) 863-5903 Get Directions Write a Review

NPPES record last updated: January 5, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Miss Fong Chan Msw NPPES

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

MISS FONG CHAN MSW (NPI 1336479914) is an individual mental health provider in Lexington, Massachusetts and active in the NPI registry since January 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1336479914
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMISS FONG CHANCredential: MSW
Location Address1040 WALTHAM STLexington, MA 02421-8033
Mailing Address1040 Waltham StLexington, MA 02421-8033 · (781) 862-3600 · Fax (781) 863-5903
Phone(781) 862-3600
Fax(781) 863-5903
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateJanuary 5, 2010
✔ NPI 1336479914 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1040 WALTHAM ST, Lexington, MA 02421
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Other Identifiers 8

Medicare PINY10074MA
Other042611055MA · Tax Id
Other1303287MA · Mbhp
Other99618201MA · Network Health
OtherM18633MA · Bcbs
Other0000023532MA · Bmc
Other1004745MA · Nhp
Medicaid1303287MA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Miss Fong Chan Msw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9032452693
PECOS Enrollment IDI20190522001697
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

DENISE MOYO MSW
Counselor (Mental Health)
1040 WALTHAM ST
LEXINGTON, MA 02421
Middlesex County (781) 761-5165
MR. KYLE COMBS
Counselor (Mental Health)
1040 WALTHAM ST
LEXINGTON, MA 02421
Middlesex County (774) 262-2868
MISS FRANCESCA CAROLINA PERSSON
Counselor (Mental Health)
1040 WALTHAM ST
LEXINGTON, MA 02421
Middlesex County (781) 761-5057
MONIQUE MITCHELL
Counselor (Mental Health)
1040 WALTHAM ST
LEXINGTON, MA 02421
Middlesex County (781) 761-5165
ASHLEY POIRIER
Counselor (Mental Health)
1040 WALTHAM ST
LEXINGTON, MA 02421
Middlesex County (781) 761-5077
DIANA AGATHA NANTONGO MA, LMHC
Counselor (Mental Health)
1040 WALTHAM ST
LEXINGTON, MA 02421
Middlesex County (781) 761-5077
MRS. CAROLYN ANN CLAIBORNE
Registered Nurse (Psychiatric/Mental Health)
1040 WALTHAM ST
LEXINGTON, MA 02421
Middlesex County (781) 862-3600
ASHLEY SMITH RN
Registered Nurse (Psychiatric/Mental Health)
1040 WALTHAM ST
LEXINGTON, MA 02421
Middlesex County (781) 761-5121

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 Fong Chan's NPI number?

The NPI number for Fong Chan is 1336479914. It was assigned to this individual provider in the NPPES registry on January 5, 2010.

Where is Fong Chan located?

Fong Chan practices at 1040 Waltham St, Lexington, MA 02421. The listed phone number is (781) 862-3600.

What is Fong Chan's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Fong Chan enrolled in Medicare?

Yes. Fong Chan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Fong Chan was last updated on January 5, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years 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.