Fountain Therapeutic and Supportive Services LLC
NPI 1285959312ActiveOrganization· Social Worker, Clinical· Jacksonville, NC
Social Worker, Clinical in Jacksonville, North Carolina, registered in NPPES in March 2010. The authorized official on file is Janny Jinor, LICSW, Manager.
Overview
| NPI | 1285959312 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 31, 2010 |
| Last updated in NPPES | Feb 11, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | LC50078852 | DC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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