Organization Active NPI

Crystal Foster Licensed Mental Health Counselor PLLC

Doing business as Groundwork Counseling

  • Mental Health Counselor
  • Webster, NY
National Provider Identifier
1093383184
Registry record updated Jun 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
CRYSTAL FOSTER LICENSED MENTAL HEALTH COUNSELOR PLLC
Doing business as
Groundwork Counseling
Practice address
805 Ridge Rd Ste 201
Webster, NY 14580-2410
Phone
(585) 204-7790
NPI assigned
Jun 15, 2021
Last updated
Jun 15, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2021

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

Authorized official

Name
Mrs. Crystal Nancy Foster, LMHC
Title
Owner
Phone
(585) 204-7790

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

805 Ridge Rd Ste 201
Webster, NY 14580-2410

Mailing address

805 Ridge Rd Ste 201
Webster, NY 14580-2410
Phone (585) 204-7790

Other names 1

  • Groundwork Counseling Doing business as

National Provider Directory

National Provider Directory

Locations

805 Ridge Rd
Ste 201
Webster, NY 14580
Phone (585) 204-7790

NPI Registry JSON

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

{
    "created_epoch": "1623715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623715200000",
    "number": "1093383184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 RIDGE RD STE 201",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145802410",
            "telephone_number": "585-204-7790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 RIDGE RD STE 201",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145802410",
            "telephone_number": "585-204-7790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRYSTAL FOSTER LICENSED MENTAL HEALTH COUNSELOR PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-15",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_middle_name": "NANCY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "585-204-7790",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Groundwork Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Webster, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2021; 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.