Active NPI
Stephen Jay Foreman, LPC, NCC, NCSC
- Counselor
- Kodiak, AK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 129193
- Practice address
- 1944 E Rezanof Dr
Kodiak, AK 99615-6601 - Phone
- (907) 654-9653
- NPI assigned
- Apr 8, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 129193 | AK | Primary |
Addresses
Primary practice location
1944 E Rezanof Dr
Kodiak, AK 99615-6601
Mailing address
PO Box 2247
Kodiak, AK 99615-2247
Phone (907) 654-9653
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1944 E Rezanof Dr
Kodiak, AK 99615-6601
Phone (907) 654-4575
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foreman Counseling LLC | Current | Accepting new patients |
Locations
1944 E Rezanof Dr
Kodiak, AK 99615
Phone (907) 654-4575
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Kodiak, AK
- NPI 1295065522
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586304000000",
"number": "1154950350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2247",
"city": "KODIAK",
"state": "AK",
"postal_code": "996152247",
"telephone_number": "907-654-9653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1944 E REZANOF DR",
"city": "KODIAK",
"state": "AK",
"postal_code": "996156601",
"telephone_number": "907-654-9653"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOREMAN",
"first_name": "STEPHEN",
"middle_name": "JAY",
"name_prefix": "Mr.",
"credential": "LPC, NCC, NCSC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-04-08",
"last_updated": "2020-04-08",
"certification_date": "2020-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "AK",
"license": "129193",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kodiak, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.