Foundations Counseling Services, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

39002363A Issued in IN

Legal business name

FOUNDATIONS COUNSELING SERVICES, LLC

Practice address

630 Cottonwood Dr
Dyer, IN 46311-2207

Phone

(219) 588-3540

NPI assigned

Jun 11, 2015

Last updated

Jun 11, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tabatha Creasbaum, LMHCNPI 1972831568

Title

Owner

Phone

(219) 588-3540

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Tabatha Creasbaum, LMHC

  • Mental Health Counselor
  • Dyer, IN
  • NPI 1972831568
  NPD (past) Authorized official

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

{
    "created_epoch": "1433980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433980800000",
    "number": "1184005589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 COTTONWOOD DR",
            "city": "DYER",
            "state": "IN",
            "postal_code": "463112207",
            "telephone_number": "219-588-3540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 COTTONWOOD DR",
            "city": "DYER",
            "state": "IN",
            "postal_code": "463112207",
            "telephone_number": "219-588-3540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNDATIONS COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-11",
        "last_updated": "2015-06-11",
        "status": "A",
        "authorized_official_last_name": "CREASBAUM",
        "authorized_official_first_name": "TABATHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "219-588-3540",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IN",
            "license": "39002363A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Kay Fisher, PTA
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• Marissa Foster
• Zachary Lawrence Foust, DO
• Franciscan Alliance
• Franciscan Health Dyer & Hammond (Franciscan Health Hammond)
• Franciscan Health Dyer & Hammond (Franciscan Health Dyer)
• Franciscan Health Dyer & Hammond (Franciscan Health Dyer)

• Community/Behavioral Health Agency in Dyer, IN
• Providers in Dyer, IN by specialty
• Community/Behavioral Health Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2015; 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.