Foundational Wellness, PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

FOUNDATIONAL WELLNESS, PLLC

Practice address

2995 Baseline Rd Ste 112
Boulder, CO 80303-2318

Phone

(720) 955-3260

NPI assigned

Aug 23, 2021

Organization subpart

No

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

Authorized official

Name

Jennifer Druckman, LPCNPI 1396976684

Title

Clinician Owner Operator

Phone

(720) 955-3260

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Cuccia Druckman

  • Mental Health Counselor
  • Wheat Ridge, CO
  • NPI 1396976684
  NPD Authorized official
• Rose Lupinacci, LCSW

  • Mental Health Counselor
  • Boulder, CO
  • NPI 1326740994
  NPD
• Logan Druckman

  • Mental Health Counselor
  • Wheat Ridge, CO
  • NPI 1093257883
  NPD (past)

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

{
    "created_epoch": "1629676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679961600000",
    "number": "1023785672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29483 SPRUCE CANYON DR",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804038430",
            "telephone_number": "303-514-5307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2995 BASELINE RD STE 112",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803032318",
            "telephone_number": "720-955-3260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNDATIONAL WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-23",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A",
        "authorized_official_last_name": "DRUCKMAN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CLINICIAN OWNER OPERATOR",
        "authorized_official_telephone_number": "720-955-3260",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca V Fossel, PHD
• Patricia Lynn Foster, M.D.
• Rachel Foster, RN
• Aikaterini Fotiou
• Foundation Health
• Fountain Wellness, LLC
• Jeff Fountain, D.C.
• Guillaume Fouque, P.T.
• Four Elements Counseling LLC
• Four Mile Creek Health

• Mental Health Counselor in Boulder, CO
• Providers in Boulder, CO by specialty
• Mental Health Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.