Individual provider Active NPI

Foster Solomon Nkrumah

  • Mental Health Counselor
  • West Boylston, MA
National Provider Identifier
1154164432
Registry record updated Jun 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
216 W Boylston St Ste 200
West Boylston, MA 01583-1788
Phone
(508) 213-3355
NPI assigned
Jun 14, 2024
Last updated
Jun 14, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2024

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 NU Primary

Addresses

Primary practice location

216 W Boylston St Ste 200
West Boylston, MA 01583-1788

Mailing address

180 May St
Worcester, MA 01602-4340
Phone (774) 329-7403

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

Practice roles

OrganizationSpecialtyStatusNew patients
FBTC Transitional Sub, LLC CurrentSince Jun 16, 2024 Accepting new patients

Locations

216 W Boylston St
Ste 200
West Boylston, MA 01583
Phone (508) 213-3355

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1718323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718323200000",
    "number": "1154164432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 MAY ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016024340",
            "telephone_number": "774-329-7403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 W BOYLSTON ST STE 200",
            "city": "WEST BOYLSTON",
            "state": "MA",
            "postal_code": "015831788",
            "telephone_number": "508-213-3355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NKRUMAH",
        "first_name": "FOSTER",
        "middle_name": "SOLOMON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-06-14",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Boylston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2024; 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.