NPIMap

Organization Active NPI

Foundations Counseling Center, Inc.

  • Clinical Social Worker
  • Athens, AL
National Provider Identifier
1396018750
Registry record updated Feb 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2342C Issued in AL
Legal business name
FOUNDATIONS COUNSELING CENTER, INC.
Practice address
100 Hine St S
Athens, AL 35611-2302
Phone
(256) 497-3147
Fax
(256) 230-0541
NPI assigned
Feb 15, 2012
Last updated
Feb 15, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2012

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

Authorized official

Name
Mrs. Nancy Dean Johnson, MSW, LCSW, PIP
Title
President
Phone
(256) 497-3147

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2342C AL Primary

Addresses

Primary practice location

100 Hine St S
Athens, AL 35611-2302

Mailing address

22176 Saratoga Dr
Athens, AL 35613-2318
Phone (256) 497-3147

National Provider Directory

National Provider Directory
Tax ID family
Foundations Counseling Center Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

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": "1329264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329264000000",
    "number": "1396018750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22176 SARATOGA DR",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356132318",
            "telephone_number": "256-497-3147",
            "fax_number": "256-230-0541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HINE ST S",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356112302",
            "telephone_number": "256-497-3147",
            "fax_number": "256-230-0541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNDATIONS COUNSELING CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-15",
        "last_updated": "2012-02-15",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-497-3147",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSW, LCSW, PIP"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "2342C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2012; 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.