Fundamental Foundations Counseling Center, PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

64254 Issued in TX

Legal business name

FUNDAMENTAL FOUNDATIONS COUNSELING CENTER, PLLC

Practice address

2770 Main St
Ste. 280
Frisco, TX 75033-4302

Phone

(214) 475-0345

Fax

(214) 935-3302

NPI assigned

Jan 27, 2016

Last updated

Jan 27, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shahidrah Cowgill, LPC-S, NCCNPI 1205134608

Title

Ceo/ Clinical Director

Phone

(214) 475-0345

Specialties & licenses 1

Addresses

Locations

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.

• Shahidrah R. Cowgill, M.A., LPC-S, NCC

  • Professional Counselor
  • Little Elm, TX
  • NPI 1205134608
  NPD (past) Authorized official
• David James Butler, LPC

  • Professional Counselor
  • Frisco, TX
  • NPI 1124329883

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1453852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453852800000",
    "number": "1417314089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2770 MAIN ST",
            "address_2": "STE. 280",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750334302",
            "telephone_number": "214-475-0345",
            "fax_number": "214-935-3302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2770 MAIN ST",
            "address_2": "STE. 280",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750334302",
            "telephone_number": "214-475-0345",
            "fax_number": "214-935-3302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNDAMENTAL FOUNDATIONS COUNSELING CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-27",
        "last_updated": "2016-01-27",
        "status": "A",
        "authorized_official_last_name": "COWGILL",
        "authorized_official_first_name": "SHAHIDRAH",
        "authorized_official_title_or_position": "CEO/ CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "214-475-0345",
        "authorized_official_credential": "LPC-S, NCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "64254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace Fultang, DNP, PMHNP-BC
• Cierra Fultz, RN
• Lindsey Fultz, D.C
• Joy Teixeira-Lima Fun, DC
• Functional Beginnings, PLLC
• Abigail Furst
• Kaitlyn Fusari, LMHC, LPC
• Fusion Chiropractic Spa
• G. Kimble Jett, MD, PA
• G&G Professional Services LLC

• Mental Health Counselor in Frisco, TX
• Providers in Frisco, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2016; 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.