Individual provider Active NPI

Amy K Foster, PHD

  • Marriage & Family Therapist
  • Avon, IN
National Provider Identifier
1013215979
Registry record updated May 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
35001704A Issued in IN
Practice address
7517 Beechwood Centre Rd Ste 300
Avon, IN 46123-7879
Phone
(317) 268-8070
Fax
(866) 205-5868
NPI assigned
Mar 2, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 35001704A IN Primary

Addresses

Primary practice location

7517 Beechwood Centre Rd Ste 300
Avon, IN 46123-7879

Mailing address

7517 Beechwood Centre Rd Ste 300
Avon, IN 46123-7879
Phone (317) 268-8070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
35001704AINMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Life Enrichment Counseling Marriage & Family Therapist CurrentSince May 17, 2020 Accepting new patients

Locations

7378 Business Center Dr
Ste 300
Avon, IN 46123
Phone (317) 268-8070

7517 Beechwood Centre Rd
Ste 300
Avon, IN 46123
Phone (317) 268-8070

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1299024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589414400000",
    "number": "1013215979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7517 BEECHWOOD CENTRE RD STE 300",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461237879",
            "telephone_number": "317-268-8070",
            "fax_number": "866-205-5868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7517 BEECHWOOD CENTRE RD STE 300",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461237879",
            "telephone_number": "317-268-8070",
            "fax_number": "866-205-5868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOSTER",
        "first_name": "AMY",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-02",
        "last_updated": "2020-05-14",
        "certification_date": "2020-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IN",
            "license": "35001704A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon, IN

Sources for this page

Verify at the official NPI Registry.