Foundations Board & Lodge LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

FOUNDATIONS BOARD & LODGE LLC

Practice address

1135 Highway 7 W
Hutchinson, MN 55350-1511

Phone

(320) 434-8007

Fax

(651) 925-0087

NPI assigned

Oct 10, 2023

Organization subpart

No

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

Authorized official

Name

Richard L Decker Jr., PSYD, LPCCNPI 1215141304

Title

Ceo, Psychologist, Clinical

Phone

(320) 434-1312

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Richard L Decker Jr., PSYD, LPCC

  • Counseling Psychologist
  • Hutchinson, MN
  • NPI 1215141304
  NPD Authorized official
• Jill M Decker, MS, LPCC

  • Professional Counselor
  • Hutchinson, MN
  • NPI 1629282645
  NPD

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

{
    "created_epoch": "1696896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696896000000",
    "number": "1023899671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 683",
            "city": "HUTCHINSON",
            "state": "MN",
            "postal_code": "553500683",
            "telephone_number": "320-434-8007",
            "fax_number": "651-925-0087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 HIGHWAY 7 W",
            "city": "HUTCHINSON",
            "state": "MN",
            "postal_code": "553501511",
            "telephone_number": "320-434-8007",
            "fax_number": "651-925-0087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNDATIONS BOARD & LODGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-10",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-09",
        "status": "A",
        "authorized_official_last_name": "DECKER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO, PSYCHOLOGIST, CLINICAL",
        "authorized_official_telephone_number": "320-434-1312",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PSYD, LPCC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karyn Finneseth, CRNA
• Firefly Counseling Services
• Ane K Fitzgerald, LMFT
• Steven James Flinn, D.D.S.
• Caitlin Forness, RPH
• Arcydalia Garcia
• Hannah Gartner, PT, DPT
• Kimberly Taylor George, RBT
• Benjamin Giesen, CRNA
• John David Gillard, DDS

• Community/Behavioral Health Agency in Hutchinson, MN
• Providers in Hutchinson, MN by specialty
• Community/Behavioral Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.