Active NPI
Foundations4Change, PLLC
- Community/Behavioral Health Agency
- Cary, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- FOUNDATIONS4CHANGE, PLLC
- Practice address
- 570 New Waverly PL Ste 210
Cary, NC 27518-7405 - Phone
- (919) 324-4120
- Fax
- (919) 439-5340
- NPI assigned
- Dec 13, 2020
- 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
- Erin Marie Bircher, LCMHC, LCAS
- Title
- Psychotherapist
- Phone
- (919) 324-4120
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary | ||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X |
Addresses
Primary practice location
570 New Waverly PL Ste 210
Cary, NC 27518-7405
Mailing address
508 Ancient Oaks Dr
Holly Springs, NC 27540-4466
Phone (919) 324-4120
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942486196 | Medicaid | NC |
National Provider Directory
National Provider Directory- Tax ID family
- Foundations4Change PLLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Mental Health Counselor
- Cary, NC
- NPI 1043991185
Locations
570 New Waverly Pl
Ste 210
Cary, NC 27518
Phone (919) 324-4120
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Mental Health Counselor
- Cary, NC
- NPI 1043991185
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Addiction (Substance Use Disorder) Counselor
- Cary, NC
- NPI 1942486196
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607817600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1607817600000",
"number": "1093301210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "508 ANCIENT OAKS DR",
"city": "HOLLY SPRINGS",
"state": "NC",
"postal_code": "275404466",
"telephone_number": "919-324-4120",
"fax_number": "919-439-5340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "570 NEW WAVERLY PL STE 210",
"city": "CARY",
"state": "NC",
"postal_code": "275187405",
"telephone_number": "919-324-4120",
"fax_number": "919-439-5340"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOUNDATIONS4CHANGE, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-12-13",
"last_updated": "2020-12-13",
"certification_date": "2020-12-13",
"status": "A",
"authorized_official_last_name": "BIRCHER",
"authorized_official_first_name": "ERIN",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "PSYCHOTHERAPIST",
"authorized_official_telephone_number": "919-324-4120",
"authorized_official_credential": "LCMHC, LCAS"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1942486196",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cary, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.