Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1972383750 Individual Practitioner Male Practitioner

Ethan Mark Fergon

Counselor • Vallejo, CA

Professional Overview & Biography Verified Profile Summary

Ethan Fergon is a registered healthcare professional specializing in Counselor in Vallejo, CA. Practice services are available at 908 TUOLUMNE ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

908 Tuolumne St

Vallejo, CA 945904641

Telephone 7076488121
Fax 7076488129
Associated Practice Facility / Clinic
🏢 Caminar Facility NPI 1548603491

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Vallejo, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.9 Yrs
Regional Practice Density
59 Specialists

Practicing in Vallejo, CA (14303 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-05-05
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

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.

Community Health Worker

NUCC Taxonomy Code: 172V00000X

Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status and life experiences with the community members they serve. They have been identified by many titles such as community health advisors, lay health advocates, "promotores(as), outreach educators, community health representatives, peer health promoters, and peer health educators. CHWs offer interpretation and translation services, provide culturally appropriate health education and information, assist people in receiving the care they need, give informal counseling and guidance on health behaviors, advocate for individual and community health needs, and provide some direct services such as first aid and blood pressure screening. Some examples of these practitioners are Community Health Aides or Practitioners established under 25 USC 1616 (l) under HHS, Indian Health Service, Public Health Service.

Adult Companion

NUCC Taxonomy Code: 372600000X

An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Tiffany Tyler

Community Health Worker

NPI 1003279852
Paul Bright , MFT-I

Marriage & Family Therapist

NPI 1013398577

MFTI

Jailene Trigueros

Rehabilitation Practitioner

NPI 1053077594
Matteo Cunanan

Adult Companion

NPI 1083387443
Lindsey Kross

Counselor

NPI 1104012475
NPI 1104359082

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location August 09, 2024

Registered at 908 TUOLUMNE ST, VALLEJO, CA 945904641 (Tel: 7076488121)

📍
Updated Business Mailing Address August 09, 2024

Registered at 908 TUOLUMNE ST, VALLEJO, CA 945904641 (Tel: 7076488121)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 09, 2024

Community Health Worker

NPI Profile Active September 29, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location September 29, 2023

Registered at 3419 VALLE VERDE DR, NAPA, CA 945582414 (Tel: 7072998250)

📍
Updated Business Mailing Address September 29, 2023

Registered at 3419 VALLE VERDE DR, NAPA, CA 945582414 (Tel: 7072998250)

👤
Provider Name / Credentials Updated September 29, 2023

Recorded as ETHAN FERGON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 29, 2023

Behavior Technician

🟢
Initial NPI Registration & Enumeration September 29, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1972383750
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 29, 2023
Last Update: May 05, 2025
Sole Proprietor: No

Mailing Address

908 Tuolumne St

Vallejo, CA 945904641

Phone: 7076488121

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.