Active NPI
Cheryl Fosgate, LLPC
- Counselor
- Monroe, MI
National Provider Identifier
1427430552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 6404044352
- Practice address
- 4350 N Monroe St
Monroe, MI 48162 - Phone
- (734) 384-3402
- Fax
- (734) 384-3158
- NPI assigned
- Jun 25, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 6404044352 | MI | Primary |
Addresses
Primary practice location
4350 N Monroe St
Monroe, MI 48162
Mailing address
3250 N Monroe St
Monroe, MI 48162-9297
Phone (734) 384-3402
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6404044352 | MI | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435190400000",
"number": "1427430552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3250 N MONROE ST",
"city": "MONROE",
"state": "MI",
"postal_code": "481629297",
"telephone_number": "734-384-3402",
"fax_number": "734-384-3158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4350 N MONROE ST",
"city": "MONROE",
"state": "MI",
"postal_code": "48162",
"telephone_number": "734-384-3402",
"fax_number": "734-384-3158"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOSGATE",
"first_name": "CHERYL",
"credential": "LLPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-25",
"last_updated": "2015-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MI",
"license": "6404044352",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monroe, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.