Organization Active NPI

Fostering Communities

Doing business as Community Works

  • Adolescent and Children Mental Health Clinic/Center
  • Springfield, MO
National Provider Identifier
1144931601
Registry record updated Dec 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
FOSTERING COMMUNITIES
Doing business as
Community Works
Practice address
836 S Suburban Ave
Springfield, MO 65802-6774
Phone
(417) 658-5409
NPI assigned
Dec 6, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2022

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

Authorized official

Name
Mr. Gener Estrada Garcia, MS, LPC
Title
Ceo, Chief Executive Officer
Phone
(417) 658-5409

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

836 S Suburban Ave
Springfield, MO 65802-6774

Mailing address

3871 S Suburban
Springfield, MO 65807
Phone (417) 658-5408

Other names 1

  • Community Works Doing business as

National Provider Directory

National Provider Directory

Locations

836 S Suburban Ave
Springfield, MO 65802
Phone (417) 612-5418

NPI Registry JSON

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

{
    "created_epoch": "1670284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670284800000",
    "number": "1144931601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3871 S SUBURBAN",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "65807",
            "telephone_number": "417-658-5408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "836 S SUBURBAN AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658026774",
            "telephone_number": "417-658-5409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOSTERING COMMUNITIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-06",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-02",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "GENER",
        "authorized_official_middle_name": "ESTRADA",
        "authorized_official_title_or_position": "CEO, CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "417-658-5409",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS, LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Works",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Springfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2022; 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.