DAVID ROY FONGER JR. (NPI# 1871130567) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871130567 |
| Entity Type | Individual |
| Full Name | DAVID ROY FONGER JR. |
| Practice Address |
2550 Lawlor Rd Fairbanks AK 99709-6458 |
| Mailing Address |
315 Wendell Ave Fairbanks AK 99701-4837 |
| Practice Telephone | 9074554725 |
| Mailing Telephone | 9074526251 |
| Enumeration Date | 2019-12-02 |
| Last Update Date | 2019-12-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
2550 LAWLOR RD |
| City | FAIRBANKS |
| State | AK |
| Zip Code | 99709-6458 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467654756 | Eric Schaetzle | Counselor | 2550 Lawlor Rd, Fairbanks, AK 99709-6458 | 2007-05-31 |
| 1225648249 | Erin Olson | Recreation Therapist | 2550 Lawlor Rd, Fairbanks, AK 99709-6458 | 2020-08-04 |
| 1205459393 | Debra Vance | Counselor | 2550 Lawlor Rd, Fairbanks, AK 99709-6458 | 2020-05-22 |
| 1104478874 | Rita Eaglehead | Counselor | 2550 Lawlor Rd, Fairbanks, AK 99709-6458 | 2019-07-12 |
| 1619529674 | Yvette Curtis | Counselor | 2550 Lawlor Rd, Fairbanks, AK 99709-6458 | 2019-07-10 |
| 1124670377 | Caroline Elizabeth Ramos | Counselor | 2550 Lawlor Rd, Fairbanks, AK 99709-6458 | 2019-07-09 |
| 1154973212 | Madeline Mary Derepentigny | Counselor | 2550 Lawlor Rd, Fairbanks, AK 99709-6458 | 2019-07-09 |
| 1598317786 | Wendy Jean Reger | Counselor | 2550 Lawlor Rd, Fairbanks, AK 99709-6458 | 2019-07-09 |
| 1386817237 | Fairbanks Native Association | Substance Abuse Rehabilitation Facility | 2550 Lawlor Rd, Fairbanks, AK 99709-6458 | 2008-04-10 |
| 1982876629 | Fairbanks Native Association | Substance Abuse Rehabilitation Facility | 2550 Lawlor Rd, Fairbanks, AK 99709-6458 | 2008-04-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255946810 | Beacon Monitoring Professional Services | Technician, Other | 745 Staffordshire Rd, Fairbanks, AK 99709 | 2020-09-10 |
| 1235629544 | Fairbanks Healing Space | Health Educator | 3875 Geist Road, Suite E #136, Fairbanks, AK 99709 | 2018-05-11 |
| 1609395409 | Shawn K Goggins | Counselor | 1423 Peger Road, Fairbanks, AK 99709 | 2017-09-12 |
| 1710433347 | Jay Titus | Technician/Technologist | 2884 Marina Drive, Fairbanks, AK 99709 | 2016-09-01 |
| 1710391610 | Hannah Summerfelt | Dentist | 3539 Thomas St, Fairbanks, AK 99709 | 2014-06-18 |
| 1629407325 | Diane Louise Mitchell | Nurse Practitioner | 4650 Harvard Cir, Fairbanks, AK 99709 | 2013-11-04 |
| 1407147929 | Christina Martz | Counselor | 1270 Summet Drive, Fairbanks, AK 99709 | 2011-05-02 |
| 1255652285 | Surgery Center of Fairbanks LLC | Clinic/Center | 2310 Peger Road, Fairbanks, AK 99709 | 2010-06-14 |
| 1962661835 | John Leo Hughes Jr Jr. | Dentist | 3437 Airport Way, Suite 205, Fairbanks, AL 99709 | 2008-06-05 |
| 1508042417 | Katherine E Johnson, Md PC | Ophthalmology | 2485 Chief William Drive, Suite 100, Fairbanks, AK 99709 | 2008-01-10 |
| Find all providers in zip 99709 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| 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. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003231739 | Susan E Stanton | Counselor | 480 University Ave, Fairbanks, AK 99709-3639 | 2014-03-04 |
| 1144591330 | Larry Chalcraft II | Counselor | 1825 Marika, Fairbanks, AK 99709-5521 | 2012-01-19 |
| 1174849632 | Stephanie Majors | Counselor | 477 Marshall Dr, Fairbanks, AK 99712-1333 | 2010-04-08 |
| 1215266648 | Judith Gottschalk | Counselor | 2737 Bonanza Trail, Fairbanks, AK 99708-5091 | 2009-12-14 |
| 1194857326 | Jennifer Ann Danhauser | Counselor | 565 University Ave., Ste. #4, Fairbanks, AK 99709-3688 | 2007-03-12 |
| 1568593556 | Miriam Anne Titus | Counselor | 201 1st Ave Ste 300, Fairbanks, AK 99701-4848 | 2007-03-08 |
| 1679613889 | Joan Soutar | Counselor | 620 5th Ave, Fairbanks, AK 99701 | 2007-02-07 |
| 1194862128 | Margaret A Dodge | Counselor | 1417 Mac Farland, Fairbanks, AK 99709-7530 | 2007-01-31 |
| 1780721001 | George Roy Kirchner Jr. | Counselor | 626 2nd St Ste 201a, Fairbanks, AK 99701-3466 | 2007-01-30 |
| 1851447973 | Ligia Maria Novcaski | Counselor | 620 5th Avenue, Fairbanks, AK 99701 | 2007-01-25 |
| Find all providers in FAIRBANKS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.