NPIMap

Organization Active NPI

Foundations Counseling Center, Inc.

  • Community/Behavioral Health Agency
  • Athens, AL
National Provider Identifier
1104193697
Registry record updated Apr 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
0093-2342C Issued in AL
Legal business name
FOUNDATIONS COUNSELING CENTER, INC.
Practice address
202 Sanders St
Athens, AL 35611-1420
Phone
(256) 497-1790
Fax
(256) 998-5500
NPI assigned
Nov 28, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2024

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

Authorized official

Name
Will Johnson
Title
Administrative Director
Phone
(256) 497-1790

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
Community/Behavioral Health Agency 251S00000X 0093-2342C AL Primary

Addresses

Primary practice location

202 Sanders St
Athens, AL 35611-1420

Mailing address

202 Sanders St
Athens, AL 35611-1420
Phone (256) 497-1790

Other practice location 1

24127 Huntsville Brownsferry Rd
Athens, AL 35613-8411
Phone (256) 497-1790

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120305000536 AL Part B Supplier - Clinic/Group Practice 0446419881 Receives reassigned benefits from 4 practitioners
Practice locations: Athens, AL

National Provider Directory

National Provider Directory
Tax ID family
Foundations Counseling Center Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

24127 Huntsville Brownsferry Rd
Athens, AL 35613
Phone (256) 497-1790

Practitioners & affiliated clinicians

Practitioners 8

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

NPI Registry JSON

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

{
    "created_epoch": "1322438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714089600000",
    "number": "1104193697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 SANDERS ST",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356111420",
            "telephone_number": "256-497-1790",
            "fax_number": "256-998-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 SANDERS ST",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356111420",
            "telephone_number": "256-497-1790",
            "fax_number": "256-998-5500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24127 Huntsville Brownsferry Rd",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "AL",
            "postal_code": "356138411",
            "country_code": "US",
            "telephone_number": "256-497-1790",
            "fax_number": "256-998-5500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FOUNDATIONS COUNSELING CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-28",
        "last_updated": "2024-04-26",
        "certification_date": "2024-04-26",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "WILL",
        "authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "256-497-1790"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AL",
            "license": "0093-2342C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 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.