NPIMap

Organization Active NPI

Foundations for Change, P.C.

  • Case Management Agency
  • Hampton, VA
National Provider Identifier
1396945549
Registry record updated May 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
FOUNDATIONS FOR CHANGE, P.C.
Practice address
706 Todds LN
Hampton, VA 23666-1847
Phone
(757) 262-1550
Fax
(757) 262-1544
NPI assigned
Jul 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2013

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

Authorized official

Name
Ms. Robin Rukin, LPC
Title
President
Phone
(757) 262-1550

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101Y00000X
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

706 Todds LN
Hampton, VA 23666-1847

Mailing address

706 Todds LN
Hampton, VA 23666-1847
Phone (757) 262-1550

National Provider Directory

National Provider Directory
Tax ID family
Foundations for Change PC2 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.

NPI Registry JSON

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369267200000",
    "number": "1396945549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 TODDS LN",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236661847",
            "telephone_number": "757-262-1550",
            "fax_number": "757-262-1544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 TODDS LN",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236661847",
            "telephone_number": "757-262-1550",
            "fax_number": "757-262-1544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNDATIONS FOR CHANGE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-24",
        "last_updated": "2013-05-23",
        "status": "A",
        "authorized_official_last_name": "RUKIN",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-262-1550",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2013; 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.