Fountain Therapeutic and Supportive Services LLC
NPI 1285959312 · Clinical Social Worker · Jacksonville, NC
Fountain Therapeutic and Supportive Services LLC is a Clinical Social Worker organization in Jacksonville, NC (NPI 1285959312).
Provider details
- NPI number
- 1285959312
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Janny Jinor, Manager(301) 437-9666
- License
- LC50078852 (DC)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Miralife Health Services
Registry dates
- Enumerated
- 2010-03-31
- Last updated
- 2015-02-11
Frequently asked questions
- What is Fountain Therapeutic and Supportive Services LLC's NPI number?
- Fountain Therapeutic and Supportive Services LLC's National Provider Identifier (NPI) is 1285959312, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fountain Therapeutic and Supportive Services LLC?
- Fountain Therapeutic and Supportive Services LLC is classified in the NPPES registry as Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Fountain Therapeutic and Supportive Services LLC located?
- Fountain Therapeutic and Supportive Services LLC's practice location on file with NPPES is 108 Cardiff Ct # Cy, Jacksonville, NC 28546-7864.
- What is Fountain Therapeutic and Supportive Services LLC's phone number?
- The practice phone number listed in the NPPES registry for Fountain Therapeutic and Supportive Services LLC is (301) 437-9666.
- Who is the authorized official for Fountain Therapeutic and Supportive Services LLC?
- The authorized official listed on Fountain Therapeutic and Supportive Services LLC's NPPES record is Janny Jinor, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fountain Therapeutic and Supportive Services LLC's NPI active?
- Yes — Fountain Therapeutic and Supportive Services LLC's NPI (1285959312) is active in the NPPES registry as of the last update on 2015-02-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.