Individual provider Active NPI

Jeffrey Eugene Foster, M.S., M.A.

  • Marriage & Family Therapist
  • Vancouver, WA
National Provider Identifier
1366626640
Registry record updated Dec 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LF00002520 Issued in WA
Practice address
400 E Evergreen Blvd
Suite 124
Vancouver, WA 98660-3331
Phone
(360) 694-1744
Fax
(360) 694-6002
NPI assigned
Dec 22, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LF00002520 WA Primary

Addresses

Primary practice location

400 E Evergreen Blvd
Suite 124
Vancouver, WA 98660-3331

Mailing address

400 E Evergreen Blvd
Suite 124
Vancouver, WA 98660-3331
Phone (360) 694-1744

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts, Master of Science

State licenses

LicenseStateTypeSpecialty
LF00002520WAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1198281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198281600000",
    "number": "1366626640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E EVERGREEN BLVD",
            "address_2": "SUITE 124",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986603331",
            "telephone_number": "360-694-1744",
            "fax_number": "360-694-6002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E EVERGREEN BLVD",
            "address_2": "SUITE 124",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986603331",
            "telephone_number": "360-694-1744",
            "fax_number": "360-694-6002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOSTER",
        "first_name": "JEFFREY",
        "middle_name": "EUGENE",
        "credential": "M.S., M.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-22",
        "last_updated": "2007-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "LF00002520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2007; 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.