Foundations Family Support LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH60786955 Issued in WA

Legal business name

FOUNDATIONS FAMILY SUPPORT LLC

Practice address

922 S Cowley St Ste 9
Spokane, WA 99202-1263

Phone

(855) 995-6777

Fax

(509) 676-6655

NPI assigned

May 3, 2018

Organization subpart

No

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

Authorized official

Name

Jarrod Meade

Title

Billing/Credentialing

Phone

(509) 822-6777

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA, FL2 enrollments

Enrollment records 2

Locations

Practitioners 13

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

• Tami Beelaert, LICSW

  • Clinical Social Worker
  • Spokane, WA
  • NPI 1265804942
  Medicare reassignment Care Compare group NPD
• Uzoejinwa Onyekwelu

  • Psychiatric/Mental Health Nurse Practitioner
  • Austin, TX
  • NPI 1083285845

  WA

  Medicare reassignment Care Compare group NPD
• Shandria Renee Woodall, LMHC, LPC

  • Mental Health Counselor
  • Sarasota, FL
  • NPI 1518482108
  Medicare reassignment Care Compare group NPD
• Lauren Tongish Rath, LMHC

  • Mental Health Counselor
  • Spokane, WA
  • NPI 1861972622
  Medicare reassignment NPD
• Gretchen H Van Bodegom

  • Mental Health Counselor
  • Spokane, WA
  • NPI 1649938168
  Medicare reassignment NPD
• Jennifer Lynn Anderson, LMHCA

  • Mental Health Counselor
  • Bradenton, FL
  • NPI 1497092886

  WA

  Medicare reassignment NPD
• Marcia J Netherland, MA, NCC, LPC, TF-CBT

  • Professional Counselor
  • Lakewood Ranch, FL
  • NPI 1558680926
  Medicare reassignment NPD
• Trevor Reed Liebing, MS, LMHC, CDP, CMHS

  • Mental Health Counselor
  • Spokane, WA
  • NPI 1750648952
  NPD
• Christie R. Ray, MA LMHC

  • Mental Health Counselor
  • Spokane, WA
  • NPI 1386797074
  NPD
• Bradley Kubat, MHC

  • Mental Health Counselor
  • Spokane, WA
  • NPI 1255898441
  NPD (past)
• James Virgil Taylor, MS

  • Counselor
  • Spokane, WA
  • NPI 1144799487
  NPD (past)
• Samuel Koolhoven-Moore

  • Mental Health Counselor
  • Sarasota, FL
  • NPI 1720650286
  NPD (past)

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

{
    "created_epoch": "1525305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735516800000",
    "number": "1083103238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "922 S COWLEY ST STE 9",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992021263",
            "telephone_number": "855-995-6777",
            "fax_number": "509-676-6655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "922 S COWLEY ST STE 9",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992021263",
            "telephone_number": "855-995-6777",
            "fax_number": "509-676-6655"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "113 F St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Cheney",
            "state": "WA",
            "postal_code": "990041629",
            "country_code": "US",
            "telephone_number": "855-995-6777",
            "fax_number": "509-676-6655",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4034 20th St W",
            "address_purpose": "LOCATION",
            "city": "Bradenton",
            "state": "FL",
            "postal_code": "342055002",
            "country_code": "US",
            "telephone_number": "509-822-6777",
            "fax_number": "509-676-6655",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "811 E Sprague Ave",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992022105",
            "country_code": "US",
            "telephone_number": "855-995-6777",
            "fax_number": "509-676-6655",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3917 N Monroe St",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992051253",
            "country_code": "US",
            "telephone_number": "855-995-6777",
            "fax_number": "509-676-6655",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FOUNDATIONS FAMILY SUPPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-03",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A",
        "authorized_official_last_name": "MEADE",
        "authorized_official_first_name": "JARROD",
        "authorized_official_title_or_position": "BILLING/CREDENTIALING",
        "authorized_official_telephone_number": "509-822-6777"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60786955",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2104214",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Mary Sloan Foutz, ARNP
• Shauna L Fowler, MPT

• Mental Health Counselor in Spokane, WA
• Providers in Spokane, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.

Verify at the official NPI Registry.