Foundations Counseling Services, PLLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

5073 Issued in NC

Legal business name

FOUNDATIONS COUNSELING SERVICES, PLLC

Practice address

183 Wind Chime CT
Suite 204
Raleigh, NC 27615-6461

Phone

(919) 900-7140

NPI assigned

Sep 23, 2009

Last updated

Sep 23, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. La Vera C Potts, LPC

Title

Ceo

Phone

(919) 900-7140

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1253664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253664000000",
    "number": "1043544083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "183 WIND CHIME CT",
            "address_2": "SUITE 204",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276156461",
            "telephone_number": "919-900-7140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "183 WIND CHIME CT",
            "address_2": "SUITE 204",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276156461",
            "telephone_number": "919-900-7140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNDATIONS COUNSELING SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-23",
        "last_updated": "2009-09-23",
        "status": "A",
        "authorized_official_last_name": "POTTS",
        "authorized_official_first_name": "LA VERA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "919-900-7140",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "5073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6005812",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sharon McGarry Foster, MD
• Tanaya Patel Foster, P.A.
• Tracie Michelle Foster
• William Wade Foster, M.D.
• Foundation Restoration Inc.
• Foundations Nutrition LLC
• Foundations Pediatric Therapy PLLC
• Foundations United, PA
• Perry Townsend Fountain, MSW, LCSW
• Shepherd Macdougald Fountain, LCSW LCAS

• Community/Behavioral Health Agency in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2009; 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.