Individual provider Active NPI

Loleta W Foster, PH.D.

  • Counseling Psychologist
  • Fayetteville, NC
National Provider Identifier
1124050232
Registry record updated Nov 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
1514 Issued in NC
Practice address
5114 Yadkin Rd
# 120
Fayetteville, NC 28303-3251
Phone
(910) 864-5196
Fax
(910) 864-1092
NPI assigned
Jul 7, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 1514 NC Primary

Addresses

Primary practice location

5114 Yadkin Rd
# 120
Fayetteville, NC 28303-3251

Mailing address

5114 Yadkin Rd
# 120
Fayetteville, NC 28303-3251
Phone (910) 864-5196

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20061026000324 NC Practitioner - Clinical Psychologist 9436156999 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5114 Yadkin Rd
Suite 120
Fayetteville, NC 28303-3251
Phone (910) 864-5196

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1514NCMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Loleta Wood Foster Counseling CurrentSince Jul 26, 2006 Accepting new patients
Fostering Communication PastSince Jul 26, 2006 Accepting new patients

Locations

5114 Yadkin Rd
Ste 120
Fayetteville, NC 28303
Phone (910) 442-7608

Organizations & group practices 2

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193961600000",
    "number": "1124050232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5114 YADKIN RD",
            "address_2": "# 120",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283033251",
            "telephone_number": "910-864-5196",
            "fax_number": "910-864-1092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5114 YADKIN RD",
            "address_2": "# 120",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283033251",
            "telephone_number": "910-864-5196",
            "fax_number": "910-864-1092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOSTER",
        "first_name": "LOLETA",
        "middle_name": "W",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2007-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NC",
            "license": "1514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.