Foundations Counseling, LLC.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

FOUNDATIONS COUNSELING, LLC.

Practice address

1299 Bedford Dr Ste B2
Melbourne, FL 32940-1900

Phone

(321) 537-6034

Fax

(321) 547-4046

NPI assigned

Aug 29, 2019

Organization subpart

No

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

Authorized official

Name

Ms. Rayna BravoNPI 1316226756

Title

Executive Director/Owner

Phone

(321) 622-8104

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 8

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

• Rayna M Bravo, LMHC

  • Mental Health Counselor
  • Melbourne, FL
  • NPI 1316226756
  Medicare reassignment Care Compare group NPD Authorized official
• Lydia Angelica Antonatos, LMHC

  • Mental Health Counselor
  • Palm Bay, FL
  • NPI 1790328144
  Medicare reassignment Care Compare group NPD
• Glori Borges, M.A., LMHC

  • Mental Health Counselor
  • Melbourne, FL
  • NPI 1144509522
  Medicare reassignment Care Compare group NPD
• Tracy Lynn Newman, LCSW

  • Clinical Social Worker
  • Melbourne, FL
  • NPI 1093320707
  Medicare reassignment Care Compare group NPD
• Robert A Ranieri, LMHC

  • Mental Health Counselor
  • Saint James, NY
  • NPI 1962618256

  FL

  Medicare reassignment NPD
• Kaylen Marie Hoover

  • Social Worker
  • Melbourne, FL
  • NPI 1871372524
  NPD
• Andrew John Houvouras IV

  • Behavior Analyst
  • Melbourne, FL
  • NPI 1366123572
  NPD
• Shantel Hanna

  • Mental Health Counselor
  • Satellite Beach, FL
  • NPI 1013611136
  NPD (past)

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

{
    "created_epoch": "1567036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675814400000",
    "number": "1366090730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1299 BEDFORD DR STE B2",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329401900",
            "telephone_number": "321-622-8104",
            "fax_number": "321-547-4046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1299 BEDFORD DR STE B2",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329401900",
            "telephone_number": "321-537-6034",
            "fax_number": "321-547-4046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNDATIONS COUNSELING, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-29",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-08",
        "status": "A",
        "authorized_official_last_name": "BRAVO",
        "authorized_official_first_name": "RAYNA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR/OWNER",
        "authorized_official_telephone_number": "321-622-8104",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "1316226756",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1316226756",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Quinton Adam Foster, MD
• Talitha Lawson Foster, OTR/L
• Thomas R Foster, MD
• Wesley McDaniel Foster, M.D.
• Evangelia Fotopoulos, M.D.
• Kelly Fountain, M.D.
• Corrine Ashley Fournier, OTR/L
• Irina Fout, LCSW
• Elizabeth Mae Fowler, M.D.
• Julie Lynn Fowler, MSW

• Community/Behavioral Health Agency in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2023; 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.