Active NPI
Deborah Foulkes LLC
- Professional Counselor
- Maplewood, NJ
National Provider Identifier
1033639927
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- DEBORAH FOULKES LLC
- Practice address
- 111 Dunnell Rd Ste 201
Maplewood, NJ 07040-2678 - Phone
- (973) 330-8123
- Fax
- (973) 671-4616
- NPI assigned
- Jun 22, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Deborah Foulkes Bert, LPC
- Title
- Founder & Ceo
- Phone
- (917) 846-9228
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Pastoral Counselor | 101YP1600X | |||
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
111 Dunnell Rd Ste 201
Maplewood, NJ 07040-2678
Mailing address
2999 Sanctuary Dr
Clermont, FL 34714-4749
Phone (917) 846-9228
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
111 Dunnell Rd
Ste 201
Maplewood, NJ 07040
Phone (973) 330-8123
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Maplewood, NJ
- NPI 1366627713
-
- Clinical Social Worker
- Maplewood, NJ
- NPI 1619546728
-
- Mental Health Counselor
- Maplewood, NJ
- NPI 1396474763
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498089600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1721779200000",
"number": "1033639927",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2999 SANCTUARY DR",
"city": "CLERMONT",
"state": "FL",
"postal_code": "347144749",
"telephone_number": "917-846-9228",
"fax_number": "973-671-4616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 DUNNELL RD STE 201",
"city": "MAPLEWOOD",
"state": "NJ",
"postal_code": "070402678",
"telephone_number": "973-330-8123",
"fax_number": "973-671-4616"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEBORAH FOULKES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-06-22",
"last_updated": "2024-07-24",
"certification_date": "2024-07-24",
"status": "A",
"authorized_official_last_name": "FOULKES BERT",
"authorized_official_first_name": "DEBORAH",
"authorized_official_title_or_position": "FOUNDER & CEO",
"authorized_official_telephone_number": "917-846-9228",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP1600X",
"taxonomy_group": "",
"desc": "Counselor, Pastoral",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maplewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.