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ETHAN MARK FERGON
NPI 1972383750
Counselor in Vallejo, CA

Active since September 29, 2023
908 TUOLUMNE ST, VALLEJO, CA 94590(707) 648-8121(707) 648-8129 Get Directions Write a Review

NPPES record last updated: May 5, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 5, 2025, Mar 26, 2025, Aug 9, 2024 (3 updates tracked since 2024).

About Ethan Mark Fergon NPPES

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

ETHAN MARK FERGON (NPI 1972383750) is an individual counselor in Vallejo, California and active in the NPI registry since September 2023.

NPPES Registry Identity

NPI1972383750
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameETHAN MARK FERGON
Location Address908 TUOLUMNE STVallejo, CA 94590-4641
Mailing Address908 Tuolumne StVallejo, CA 94590-4641 · (707) 648-8121 · Fax (707) 648-8129
Phone(707) 648-8121
Fax(707) 648-8129
Sole ProprietorNo
Enumeration DateSeptember 29, 2023
Last NPPES UpdateMay 5, 20253 updates tracked since enumeration
NPPES CertifiedMay 5, 2025
✔ NPI 1972383750 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Also ListedCommunity Health WorkerTaxonomy 172V00000X
Also ListedAdult CompanionTaxonomy 372600000X
908 TUOLUMNE ST, Vallejo, CA 94590
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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.

TIFFANY MARIE TYLER
Community Health Worker
908 TUOLUMNE ST
VALLEJO, CA 94590
Solano County (707) 648-8121
JAILENE TRIGUEROS
Rehabilitation Practitioner
908 TUOLUMNE ST
VALLEJO, CA 94590
Solano County (707) 648-8121
MATTEO LORENZO CUNANAN
Adult Companion
908 TUOLUMNE ST
VALLEJO, CA 94590
Solano County (707) 648-8121
LINDSEY KROSS
Counselor
908 TUOLUMNE ST
VALLEJO, CA 94590
Solano County (707) 648-8121
DEZALYN ANN DEVERA
Counselor
908 TUOLUMNE ST
VALLEJO, CA 94590
Solano County (707) 648-8121
MRS. FABIANA VEGA MA
Marriage & Family Therapist
908 TUOLUMNE ST
VALLEJO, CA 94590
Solano County (707) 648-8121
ROISHA NICOLE NEWSON
Counselor (Mental Health)
908 TUOLUMNE ST
VALLEJO, CA 94590
Solano County (707) 648-8121
ALANDREA MARTIN LMFT
Marriage & Family Therapist
908 TUOLUMNE ST
VALLEJO, CA 94590
Solano County (707) 648-8121

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 Ethan Fergon's NPI number?

The NPI number for Ethan Fergon is 1972383750. It was assigned to this individual provider in the NPPES registry on September 29, 2023.

Where is Ethan Fergon located?

Ethan Fergon practices at 908 Tuolumne St, Vallejo, CA 94590. The listed phone number is (707) 648-8121.

What is Ethan Fergon's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Ethan Fergon was last updated on May 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.