Foundations Supportive Services LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

FOUNDATIONS SUPPORTIVE SERVICES LLC

Doing business as

Charter Counseling Services

Practice address

11834 Canon Blvd Ste J3-4
Newport News, VA 23606-2581

Phone

(757) 329-3662

NPI assigned

Aug 12, 2021

Last updated

Aug 12, 2021By the provider in NPPES

Organization subpart

Yes

Parent organization

CHARTER COUNSELING SERVICES LLCAs reported in NPPES

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

Authorized official

Name

Amber Dorsey, LCSWNPI 1083180160

Title

Ceo

Phone

(757) 329-3662

Specialties & licenses 1

Addresses

Other names 1

• Charter Counseling Services Doing business as

Electronic endpoints 1

Part of

Foundations Supportive Services LLC

Locations

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.

• Amber Dorsey, LCSW

  • Clinical Social Worker
  • Chesapeake, VA
  • NPI 1083180160
  NPD Authorized official

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

{
    "created_epoch": "1628726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628726400000",
    "number": "1235804006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11834 CANON BLVD STE J3-4",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236062581",
            "telephone_number": "757-329-3662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11834 CANON BLVD STE J3-4",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236062581",
            "telephone_number": "757-329-3662"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 Regency Pkwy",
            "address_purpose": "LOCATION",
            "city": "Cary",
            "state": "NC",
            "postal_code": "275188549",
            "country_code": "US",
            "telephone_number": "757-329-3662",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FOUNDATIONS SUPPORTIVE SERVICES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHARTER COUNSELING SERVICES LLC",
        "enumeration_date": "2021-08-12",
        "last_updated": "2021-08-12",
        "certification_date": "2021-08-12",
        "status": "A",
        "authorized_official_last_name": "DORSEY",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "757-329-3662",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "foundation1llc@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Company Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "11834 Canon Blvd Ste J3-4",
            "city": "Newport News",
            "state": "VA",
            "country_code": "US",
            "postal_code": "236062581",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Charter Counseling Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephen Laroy Foster Jr., QMHP, CSAC-E
• Tawania T Foster, RN
• Vinson M Foster, LMT, CMT
• Afaribea Fosu, PMHNP-BC
• Rondejah Foulks
• Foundations to Success, LLC
• Kaata Fountain
• Four Crowne Legacy LLC (Crowne Initiative Services)
• Kristen Michelle Fowler, LPC, LMFT
• Scott Matthew Fowler, LPC, LMFT

• Community/Behavioral Health Agency in Newport News, VA
• Providers in Newport News, VA by specialty
• Community/Behavioral Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2021; 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.