Active NPI
Tami Foster, MFT INTERN
- Marriage & Family Therapist
- Mount Shasta, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 99375
- Practice address
- 301 Chestnut St
Mount Shasta, CA 96067-2214 - Phone
- (530) 926-1436
- Fax
- (530) 926-2305
- NPI assigned
- Mar 1, 2018
- Last updated
- Mar 1, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 99375 | CA | Primary |
Addresses
Primary practice location
301 Chestnut St
Mount Shasta, CA 96067-2214
Mailing address
301 Chestnut St
Mount Shasta, CA 96067-2214
Phone (530) 926-1436
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
530 Bogachiel Way
Forks Comm Hosp
Forks, WA 98331-9120
Phone (360) 374-6271
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 99375 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clallam County Public Hospital District No 1 | Current | Accepting new patients | |
| Clallam County Public Hospital District No 1 | Current | Accepting new patients | |
| Clallam County Public Hospital District No 1 | Past | Accepting new patients |
Locations
530 Bogachiel Way
Forks, WA 98331
Phone (360) 374-5011
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/forkshospital/r4/
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Forks Community Hospital
- Critical Access Hospital
- Forks, WA
- NPI 1891879680
-
dba Forks Family Medical Clinic
- Rural Health Clinic/Center
- Forks, WA
- NPI 1285290338
-
dba Clallam Bay Medical Clinic
- Rural Health Clinic/Center
- Clallam Bay, WA
- NPI 1235213034
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519862400000",
"number": "1003318460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 CHESTNUT ST",
"city": "MOUNT SHASTA",
"state": "CA",
"postal_code": "960672214",
"telephone_number": "530-926-1436",
"fax_number": "530-926-2305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 CHESTNUT ST",
"city": "MOUNT SHASTA",
"state": "CA",
"postal_code": "960672214",
"telephone_number": "530-926-1436",
"fax_number": "530-926-2305"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOSTER",
"first_name": "TAMI",
"credential": "MFT INTERN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-03-01",
"last_updated": "2018-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "99375",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mount Shasta, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.