Individual provider Active NPI

Paul D. Foucault, MA, LPC

  • Professional Counselor
  • Iron River, MI
National Provider Identifier
1104970763
Registry record updated Oct 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401001846 Issued in MI
Practice address
8 W Genesee St
Iron River, MI 49935-1435
Phone
(906) 265-4428
Fax
(906) 265-4595
NPI assigned
Jan 22, 2007
Last updated
Oct 8, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6401001846 MI Primary

Addresses

Primary practice location

8 W Genesee St
Iron River, MI 49935-1435

Mailing address

720 Erie Ave
Crystal Falls, MI 49920-1111
Phone (906) 265-4428

Other names 1

  • Mr. Paul D. Foucault Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
6401001846MIMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223424000000",
    "number": "1104970763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 ERIE AVE",
            "city": "CRYSTAL FALLS",
            "state": "MI",
            "postal_code": "499201111",
            "telephone_number": "906-265-4428",
            "fax_number": "906-265-4595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 W GENESEE ST",
            "city": "IRON RIVER",
            "state": "MI",
            "postal_code": "499351435",
            "telephone_number": "906-265-4428",
            "fax_number": "906-265-4595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOUCAULT",
        "first_name": "PAUL",
        "middle_name": "D.",
        "name_prefix": "Mr.",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2008-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401001846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAUL",
            "last_name": "FOUCAULT",
            "middle_name": "D.",
            "prefix": "MR.",
            "credential": "MA, LPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Iron River, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2008; 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.