Foundations Counseling, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149019762 Issued in IL

Legal business name

FOUNDATIONS COUNSELING, LLC

Practice address

9730 S Western Ave Ste 215
Evergreen Park, IL 60805

Phone

(773) 242-9726

NPI assigned

Oct 26, 2017

Organization subpart

No

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

Authorized official

Name

Samantha Louise Allen, MSW, LCSW

Title

Ceo/ Mental Health Therapist

Phone

(708) 529-0122

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1508976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532044800000",
    "number": "1124530456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9730 S WESTERN AVE STE 215",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608052871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9730 S WESTERN AVE STE 215",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "60805",
            "telephone_number": "773-242-9726"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9730 S. Western Ave",
            "address_2": "Ste. 215",
            "address_purpose": "LOCATION",
            "city": "Evergreen Park",
            "state": "ID",
            "postal_code": "60805",
            "country_code": "US",
            "telephone_number": "773-242-9726",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FOUNDATIONS COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-26",
        "last_updated": "2018-07-20",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "CEO/ MENTAL HEALTH THERAPIST",
        "authorized_official_telephone_number": "708-529-0122",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149019762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angelika Fiedorowicz, APRN
• Michael R Fiorucci, MD
• Rowena Adriano Flavier, PT
• Regina M Folliard I, OTR/L
• Aqueelah Ford
• Kaitlyn Bridget Frank, APN
• Carly Jacklene Franzese
• Ann Frederickson, RDH, BSDH
• Jenise Fredricks, DT
• Stephanie Marie Free, LICENSED ESTHETICIAN

• Clinical Social Worker in Evergreen Park, IL
• Providers in Evergreen Park, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2018; 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.