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NPI Code Detail

MEDICARE: FUNCTIONAL MENTAL HEALTH SOLUTIONS

MEDICARE: FUNCTIONAL MENTAL HEALTH SOLUTIONS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1578413456
Entity Type Code : Organization
Provider Name (Legal Business Name) : FUNCTIONAL MENTAL HEALTH SOLUTIONS
Provider Business Mailing Address
First Line : 395 E CALIFORNIA AVE
Second Line :
City : ARCATA
State : CA
Zip : 95521-5279
Country : US
Telephone Number : 707-599-0310
Fax Number : 707-877-4787
Provider Business Practice Location Address
First Line : 655 F ST STE A
Second Line :
City : ARCATA
State : CA
Zip : 95521-6366
Country : US
Telephone Number : 707-877-4787
Fax Number : 707-877-4787
Authorized Official
Title or Position : OWNER
Name : JENOA S BRIAR-BONPANE
Credential : LCSW
Telephone Number : 707-599-0310
Provider Enumeration Date : 01/30/2026
Last Update Date : 01/30/2026

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Directions to “FUNCTIONAL MENTAL HEALTH SOLUTIONS ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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