Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jonathan Revai Fenton, CPSS

Individual provider Peer Specialist · NPI 1275244758

Jonathan Revai Fenton, CPSS is a Peer Specialist in Utica, New York. Registered with an NPI since 2022.

In the registry since
2022
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Practice location Address checks out

624 Elizabeth St
Utica, NY 13501-2413
Phone: (315) 939-3176
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X

Record details

NPI number1275244758
Entity typeIndividual (Type 1)
GenderMale
Credentials CPSS
Sole proprietorNo
NPI enumeratedDecember 6, 2022
Last updated in NPPESDecember 6, 2022
Certification dateDecember 6, 2022

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