Active NPI
Amy K Foster, PHD
- Marriage & Family Therapist
- Avon, IN
National Provider Identifier
1013215979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 35001704A
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 35001704A | IN | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Life Enrichment Counseling | Marriage & Family Therapist | Current | 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.
-
- Marriage & Family Therapist
- Avon, IN
- NPI 1104220110
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.