NPIMap

Organization Active NPI

Foundations Counseling and Assessments LLC

  • Psychologist
  • Aurora, IL
National Provider Identifier
1275182743
Registry record updated Sep 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
FOUNDATIONS COUNSELING AND ASSESSMENTS LLC
Practice address
452 N Eola Rd Ste a
Aurora, IL 60502-9110
Phone
(630) 999-0401
NPI assigned
Sep 8, 2019
Last updated
Sep 8, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2019

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

Authorized official

Name
Mr. Eugene JiongcoNPI 1851942817
Title
General Counsel/Dir of Dev
Phone
(331) 472-7620

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

452 N Eola Rd Ste a
Aurora, IL 60502-9110

Mailing address

452 N Eola Rd Ste a
Aurora, IL 60502-9110
Phone (630) 999-0401

National Provider Directory

National Provider Directory

Locations

452 N Eola Rd
Ste A
Aurora, IL 60502
Phone (630) 999-0401

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1567900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567900800000",
    "number": "1275182743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "452 N EOLA RD STE A",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605029110",
            "telephone_number": "630-999-0401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "452 N EOLA RD STE A",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605029110",
            "telephone_number": "630-999-0401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNDATIONS COUNSELING AND ASSESSMENTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-08",
        "last_updated": "2019-09-08",
        "status": "A",
        "authorized_official_last_name": "JIONGCO",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_title_or_position": "GENERAL COUNSEL/DIR OF DEV",
        "authorized_official_telephone_number": "331-472-7620",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2019; 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.