Chandra Shakira Foard, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

2850 Issued in MS

Practice address

302 Venetian Way
Hattiesburg, MS 39401-4723

Phone

(662) 722-2494

NPI assigned

Jan 31, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1675123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675123200000",
    "number": "1235835406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 VENETIAN WAY",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394014723",
            "telephone_number": "662-722-2494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 VENETIAN WAY",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394014723",
            "telephone_number": "662-722-2494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOARD",
        "first_name": "CHANDRA",
        "middle_name": "SHAKIRA",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-31",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MS",
            "license": "2850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gordon Earl Fletcher, D.D.S.
• Stephen Gardner Fletcher, DO
• Victor A Fletcher, DDS FACP
• Alexandra C Flint, ATC
• Herbert Floyd, MD
• Arthur Nick Fokakis, M.D.
• Melanie Renee Foley, APRN, FNP-BC
• Julia Margaret Folse, LMSW
• Alexey Fomin, M.D., PH.D.
• Foot Clinic of Hattiesburg, P.a.

• Mental Health Counselor in Hattiesburg, MS
• Providers in Hattiesburg, MS by specialty
• Mental Health Counselor in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2023; 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.