Individual provider Active NPI

Justin Aaron Foster, LPC

  • Mental Health Counselor
  • Reading, PA
National Provider Identifier
1104690205
Registry record updated Nov 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
PC016236 Issued in PA
Practice address
3933 Perkiomen Ave
Reading, PA 19606-2756
Phone
(610) 779-7272
NPI assigned
Nov 8, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X PC016236 PA Primary

Addresses

Primary practice location

3933 Perkiomen Ave
Reading, PA 19606-2756

Mailing address

80 New Village Greene Dr
Honey Brook, PA 19344-8609
Phone (610) 357-0892

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250106001513 PA Practitioner - Mental Health Counselor 5092243980 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3933 Perkiomen Ave
Suite 105
Reading, PA 19606-2754
Phone (844) 696-4631

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PC016236PAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mind Matters Coaching, Counseling, & Psychological Associates LLC CurrentSince Dec 2, 2024 Accepting new patients

Locations

1150 Glenlivet Dr
Ste A23
Allentown, PA 18106
Phone (844) 696-4631

3933 Perkiomen Ave
Ste 105
Reading, PA 19606
Phone (844) 696-4631

2209 Quarry Dr
Ste A10
Reading, PA 19609
Phone (610) 563-2052

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1699401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1104690205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 NEW VILLAGE GREENE DR",
            "city": "HONEY BROOK",
            "state": "PA",
            "postal_code": "193448609",
            "telephone_number": "610-357-0892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3933 PERKIOMEN AVE",
            "city": "READING",
            "state": "PA",
            "postal_code": "196062756",
            "telephone_number": "610-779-7272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOSTER",
        "first_name": "JUSTIN",
        "middle_name": "AARON",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-11-08",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC016236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reading, PA

Sources for this page

Verify at the official NPI Registry.