Chelsea Fosmire

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

6005 Tyee Dr SW
Tumwater, WA 98512-7356

Phone

(360) 464-6874

NPI assigned

Oct 8, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Chelsea Jones Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Educational Service District 113

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Raymond, WA
  • NPI 1285886655
  NPD (past)
• Educational Service District 113

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Shelton, WA
  • NPI 1952437824
  NPD (past)

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

{
    "created_epoch": "1223424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715299200000",
    "number": "1275784274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6005 TYEE DR SW",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985127356",
            "telephone_number": "360-464-6874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6005 TYEE DR SW",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985127356",
            "telephone_number": "360-464-6874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOSMIRE",
        "first_name": "CHELSEA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-08",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CO61555432",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHELSEA",
            "last_name": "JONES",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Abraham Gamanga Foday
• Jason David Fodeman, MD
• Foot and Ankle Surgical Associates Inc PS
• Mark A Forstrom Sr.
• Eric William Forsythe, A.T.C.
• Jennifer Foster Hinman, LMT
• Cynthia Carol Foster, MA 60066174
• Desirae Ann Foster, SUDPT
• Jeffrey P Foucrier, DPT
• Samantha Fountaine

• Counselor in Tumwater, WA
• Providers in Tumwater, WA by specialty
• Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2024; 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.