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JERRY FONSECA
NPI 1568078830
Counselor - Mental Health in Anchorage, AK

Active since September 21, 2020
1709 BRAGAW ST, ANCHORAGE, AK 99508(907) 562-5340 Get Directions Write a Review

NPPES record last updated: September 21, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jerry Fonseca NPPES

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

JERRY FONSECA (NPI 1568078830) is an individual mental health provider in Anchorage, Alaska and active in the NPI registry since September 2020.

NPPES Registry Identity

NPI1568078830
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJERRY FONSECA
Location Address1709 BRAGAW STAnchorage, AK 99508-3436
Mailing Address4939 Folker St Unit AAnchorage, AK 99507-1456 · (907) 440-3000
Phone(907) 562-5340
Sole ProprietorNo
Enumeration DateSeptember 21, 2020
NPPES CertifiedSeptember 21, 2020
✔ NPI 1568078830 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1709 BRAGAW ST, Anchorage, AK 99508
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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.

TAU VAAIA
Counselor (Mental Health)
1709 BRAGAW ST
ANCHORAGE, AK 99508
Anchorage Municipality (907) 562-5340
BERNADETTE SHOLD DEVENY
Counselor (Mental Health)
1709 BRAGAW ST
ANCHORAGE, AK 99508
Anchorage Municipality (907) 562-5340
MICHELLE VAAIA
Counselor (Mental Health)
1709 BRAGAW ST
ANCHORAGE, AK 99508
Anchorage Municipality (907) 562-5340
JORDAN K MILLER
Counselor (Mental Health)
1709 BRAGAW ST
ANCHORAGE, AK 99508
Anchorage Municipality (907) 792-4121
JANE EVE REGISTE
Counselor (Mental Health)
1709 BRAGAW ST
ANCHORAGE, AK 99508
Anchorage Municipality (907) 792-4117
HAYLEE ROSE LONGSINE
Counselor (Mental Health)
1709 BRAGAW ST
ANCHORAGE, AK 99508
Anchorage Municipality (907) 792-4145
JUITA JOHNSON
Counselor (Mental Health)
1709 BRAGAW ST
ANCHORAGE, AK 99508
Anchorage Municipality (907) 562-5340
CORY ANDREW PEPITON
Counselor (Mental Health)
1709 BRAGAW ST
ANCHORAGE, AK 99508
Anchorage Municipality (907) 562-5340

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 Jerry Fonseca's NPI number?

The NPI number for Jerry Fonseca is 1568078830. It was assigned to this individual provider in the NPPES registry on September 21, 2020.

Where is Jerry Fonseca located?

Jerry Fonseca practices at 1709 Bragaw St, Anchorage, AK 99508. The listed phone number is (907) 562-5340.

What is Jerry Fonseca's specialty?

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

When was this NPI record last updated?

The NPPES record for Jerry Fonseca was last updated on September 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.