Organization Active NPI

Foundations Integrative Wellness, PLLC

  • Professional Counselor
  • Mooresville, NC
National Provider Identifier
1174203137
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
FOUNDATIONS INTEGRATIVE WELLNESS, PLLC
Practice address
108 Gateway Blvd Ste 207
Mooresville, NC 28117-5597
Phone
(980) 222-1056
NPI assigned
Jul 24, 2023
Last updated
Jul 24, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

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

Authorized official

Name
Adam Kurtz, LCMHCNPI 1134606080
Title
Counselor
Phone
(980) 288-2974

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Addresses

Primary practice location

108 Gateway Blvd Ste 207
Mooresville, NC 28117-5597

Mailing address

108 Gateway Blvd Ste 207
Mooresville, NC 28117-5597
Phone (980) 222-1056

National Provider Directory

National Provider Directory

Locations

108 Gateway Blvd
Ste 207
Mooresville, NC 28117
Phone (704) 664-1175

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1690156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753315200000",
    "number": "1174203137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 GATEWAY BLVD STE 207",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281175597",
            "telephone_number": "980-222-1056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 GATEWAY BLVD STE 207",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281175597",
            "telephone_number": "980-222-1056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNDATIONS INTEGRATIVE WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-24",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A",
        "authorized_official_last_name": "KURTZ",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "980-288-2974",
        "authorized_official_credential": "LCMHC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mooresville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2025; 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.