Foundations Behavioral Health, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

FOUNDATIONS BEHAVIORAL HEALTH, LLC

Practice address

16382 E Highway 20
Claremore, OK 74019-3946

Phone

(918) 508-9696

NPI assigned

Jun 14, 2015

Organization subpart

No

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

Authorized official

Name

Grace Ballard, MSW,CSWNPI 1902137631

Title

Executive Director

Phone

(918) 508-9696

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Grace Ballard, MSW, LADC, LCSW

  • Addiction (Substance Use Disorder) Counselor
  • Tulsa, OK
  • NPI 1902137631

  Mental Health

  Medicare reassignment NPD Authorized official
• Cynthia Fairchild

  • Case Manager/Care Coordinator
  • Claremore, OK
  • NPI 1982471686
  NPD
• Gloria Miller, LMSW-P

  • Clinical Social Worker
  • Claremore, OK
  • NPI 1356184840
  NPD
• Samantha Nguyen, LMSW

  • Mental Health Counselor
  • Claremore, OK
  • NPI 1215772702
  NPD

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

{
    "created_epoch": "1434240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718323200000",
    "number": "1326429598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3062",
            "city": "CLAREMORE",
            "state": "OK",
            "postal_code": "740183062",
            "telephone_number": "918-508-9696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16382 E HIGHWAY 20",
            "city": "CLAREMORE",
            "state": "OK",
            "postal_code": "740193946",
            "telephone_number": "918-508-9696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNDATIONS BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-14",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A",
        "authorized_official_last_name": "BALLARD",
        "authorized_official_first_name": "GRACE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "918-508-9696",
        "authorized_official_credential": "MSW,CSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lenetta Foreman, BSW, MS
• Suzanne Lynn Forsberg, RD, LD, CDE
• Carrie Fortna
• Gary Dee Fortner, MD
• Brent Foster, PT
• Foutz Chiropractic, PLLC
• Tina L Foutz, D.C.
• Abigail Hogle Fowler, O.D.
• Robyn Foxworth, SPEECH THERAPIST
• Amber Frailey, LPC

• Mental Health Counselor in Claremore, OK
• Providers in Claremore, OK by specialty
• Mental Health Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.