Individual provider Active NPI

Suzanne Christine Foster-Wolfe, LPC, LCADC, NCC, DCC

  • Professional Counselor
  • Swedesboro, NJ
National Provider Identifier
1043539588
Registry record updated Mar 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37PC00451200 Issued in NJ
Practice address
318 Forrest LN
Swedesboro, NJ 08085
Phone
(856) 975-6616
NPI assigned
May 24, 2010
Last updated
Mar 21, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 37LC00188200 NJ
Professional Counselor 101YP2500X 37PC00451200 NJ Primary

Addresses

Primary practice location

318 Forrest LN
Swedesboro, NJ 08085

Mailing address

318 Forrest LN
Swedesboro, NJ 08085-3328
Phone (856) 975-6616

Other names 1

  • Ms. Suzanne C. Foster Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231206002607 NJ Practitioner - Mental Health Counselor 0648629337 Practice locations: Woolwich TWP, NJ

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

318 Forrest LN
Swedesboro, NJ 08085-3328

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37LC00188200NJMDAddiction (Substance Use Disorder) Counselor
37PC00451200NJMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1274659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395360000000",
    "number": "1043539588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 FORREST LN",
            "city": "SWEDESBORO",
            "state": "NJ",
            "postal_code": "080853328",
            "telephone_number": "856-975-6616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 FORREST LN",
            "city": "SWEDESBORO",
            "state": "NJ",
            "postal_code": "08085",
            "telephone_number": "856-975-6616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOSTER-WOLFE",
        "first_name": "SUZANNE",
        "middle_name": "CHRISTINE",
        "name_prefix": "Mrs.",
        "credential": "LPC, LCADC, NCC, DCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-24",
        "last_updated": "2014-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00188200",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00451200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUZANNE",
            "last_name": "FOSTER",
            "middle_name": "C.",
            "prefix": "MS.",
            "credential": "LPC, LCADC, NCC, DCC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Swedesboro, NJ

Sources for this page

Verify at the official NPI Registry.