Foundations United, PA

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

5073 Issued in NC

Legal business name

FOUNDATIONS UNITED, PA

Practice address

183 Wind Chime CT
Raleigh, NC 27615-6461

Phone

(919) 900-7140

Fax

(919) 848-3140

NPI assigned

Oct 27, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. La Vera C Potts, LPC

Title

Ceo

Phone

(919) 900-7140

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1288137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288137600000",
    "number": "1407156185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "183 WIND CHIME CT",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276156461",
            "telephone_number": "919-900-7140",
            "fax_number": "919-848-3140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "183 WIND CHIME CT",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276156461",
            "telephone_number": "919-900-7140",
            "fax_number": "919-848-3140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNDATIONS UNITED, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-27",
        "last_updated": "2010-10-27",
        "status": "A",
        "authorized_official_last_name": "POTTS",
        "authorized_official_first_name": "LA VERA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "919-900-7140",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "5073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NORTH CAROLINA",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Wade Foster, M.D.
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• Foundations Nutrition LLC
• Foundations Pediatric Therapy PLLC
• Perry Townsend Fountain, MSW, LCSW
• Shepherd Macdougald Fountain, LCSW LCAS
• Danielle Fouratt, BOA
• Jacquetta Melony Foushee, M.D.
• Jocelyn Germis Foust, P-LCSW

• Professional Counselor in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2010; 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.