JACQUELINE FOUNTAIN LAAC
NPI 1982596243
Counselor - Addiction (Substance Use Disorder) in Winslow, AZ

Q: What is Jacqueline Fountain's NPI number?

The NPI number for Jacqueline Fountain is 1982596243. It was assigned to this individual provider in the NPPES registry on July 19, 2025.

Q: What is Jacqueline Fountain's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Active since July 19, 2025

110 E SECOND ST, WINSLOW, AZ 86047(602) 989-3276 Get Directions Write a Review

NPPES record last updated: September 4, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jacqueline Fountain Laac NPPES

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

JACQUELINE FOUNTAIN LAAC (NPI 1982596243) is an individual addiction (substance use disorder) provider in Winslow, Arizona, licensed in Arizona (LIAC-155391) and active in the NPI registry since July 2025.

NPPES Registry Identity

NPI1982596243

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NameJACQUELINE FOUNTAINCredential: LAAC

Location Address110 E SECOND STWinslow, AZ 86047-3704

Mailing Address110 E Second StWinslow, AZ 86047-3704 · (928) 358-9370 · Fax (928) 358-9370

Phone(602) 989-3276

Sole ProprietorNo

Enumeration DateJuly 19, 2025

Last NPPES UpdateSeptember 4, 2025

NPPES CertifiedSeptember 4, 2025

✔ NPI 1982596243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in AZ · LIAC-155391

110 E SECOND ST, Winslow, AZ 86047

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Other Providers at the Same Location NPPES 4

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

NANCY CAROL STEHLE MSW

Social Worker (Clinical)

110 E SECOND ST
WINSLOW, AZ 86047

Navajo County (928) 829-1222

COMMUNITY BRIDGES, INC

Clinical Medical Laboratory

110 E SECOND ST
WINSLOW, AZ 86047

Navajo County (928) 289-1222

COMMUNITY BRIDGES, INC.

Clinic/Center (Adolescent and Children Mental Health)

110 E SECOND ST
WINSLOW, AZ 86047

Navajo County (928) 289-1122

COMMUNITY BRIDGES, INC.

Community/Behavioral Health

110 E SECOND ST
WINSLOW, AZ 86047

Navajo County (928) 289-1222

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 Jacqueline Fountain's NPI number?

The NPI number for Jacqueline Fountain is 1982596243. It was assigned to this individual provider in the NPPES registry on July 19, 2025.

Where is Jacqueline Fountain located?

Jacqueline Fountain practices at 110 E Second St, Winslow, AZ 86047. The listed phone number is (602) 989-3276.

What is Jacqueline Fountain's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Jacqueline Fountain was last updated on September 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.