Active NPI
Marissa Rose Foster, MA, LPCC, NCC
- Professional Counselor
- Colorado Springs, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0015219
- Practice address
- 5265 N Academy Blvd Ste 3200
Colorado Springs, CO 80918-4083 - Phone
- (719) 466-6854
- NPI assigned
- Feb 3, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0015219 | CO | Primary |
Addresses
Primary practice location
5265 N Academy Blvd Ste 3200
Colorado Springs, CO 80918-4083
Mailing address
4646 N Crimson Cir
Colorado Springs, CO 80917-1607
Phone (719) 331-4748
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO, KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
720 S Colorado Blvd
PH North
Denver, CO 80246-1904
Phone (844) 843-7279
801 E Douglas Ave
FL 2
Wichita, KS 67202-3548
Phone (866) 630-0966
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0015219 | CO | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sondermind Provider Network LLC | Professional | Current | Accepting new patients |
| Sondermind, P.a. | Mental Health | Current | Accepting new patients |
Locations
720 S Colorado Blvd
Ph N
Glendale, CO 80246
Phone (833) 988-0589
801 E Douglas Ave
Fl 2
Wichita, KS 67202
Phone (316) 330-5353
Organizations & group practices 2
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": "1517616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1517616000000",
"number": "1225537434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4646 N CRIMSON CIR",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809171607",
"telephone_number": "719-331-4748"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5265 N ACADEMY BLVD STE 3200",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809184083",
"telephone_number": "719-466-6854"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOSTER",
"first_name": "MARISSA",
"middle_name": "ROSE",
"credential": "MA, LPCC, NCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-03",
"last_updated": "2018-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "0015219",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2018; 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.