Organization Active NPI

Foundations Family and Individual Counseling, LLC

  • Adult Mental Health Clinic/Center
  • Rockford, IL
National Provider Identifier
1093486649
Registry record updated Nov 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
FOUNDATIONS FAMILY AND INDIVIDUAL COUNSELING, LLC
Practice address
124 N Water St Ste 303B
Rockford, IL 61107-3975
Phone
(815) 540-8410
NPI assigned
Sep 23, 2021
Last updated
Nov 1, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2021

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

Authorized official

Name
Mrs. Karyn B Schwitters, LCSWNPI 1417471020
Title
Owner
Phone
(815) 540-8410

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Adult Mental Health Clinic/Center 261QM0850X Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

124 N Water St Ste 303B
Rockford, IL 61107-3975

Mailing address

1805 Clinton St
Rockford, IL 61103-4805
Phone (815) 540-8410

Other practice location 1

1805 Clinton St
Rockford, IL 61103-4805
Phone (815) 540-8410

Other names 1

  • Karyn Schwitters Counseling Former legal business name

National Provider Directory

National Provider Directory

Locations

124 N Water St
Ste 303A
Rockford, IL 61107
Phone (815) 540-8410

124 N Water St
Ste 303B
Rockford, IL 61107
Phone (815) 540-8410

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1632355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635724800000",
    "number": "1093486649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 CLINTON ST",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611034805",
            "telephone_number": "815-540-8410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 N WATER ST STE 303B",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611073975",
            "telephone_number": "815-540-8410"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1805 Clinton St",
            "address_purpose": "LOCATION",
            "city": "Rockford",
            "state": "IL",
            "postal_code": "611034805",
            "country_code": "US",
            "telephone_number": "815-540-8410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FOUNDATIONS FAMILY AND INDIVIDUAL COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-23",
        "last_updated": "2021-11-01",
        "certification_date": "2021-11-01",
        "status": "A",
        "authorized_official_last_name": "SCHWITTERS",
        "authorized_official_first_name": "KARYN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-540-8410",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Karyn Schwitters Counseling",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Rockford, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.