Individual provider Active NPI

Cheryl Fosgate, LPC

  • Counselor
  • Jackson, MI
National Provider Identifier
1427430552
Registry record updated Oct 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
6401011352 Issued in MI
Practice address
5150 Sunset Dr
Jackson, MI 49203-5647
Phone
(517) 392-3402
Fax
(517) 392-3402
NPI assigned
Jun 25, 2015
Last updated
Oct 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 6401011352 MI Primary

Addresses

Primary practice location

5150 Sunset Dr
Jackson, MI 49203-5647

Mailing address

5150 Sunset Dr
Jackson, MI 49203-5647
Phone (517) 392-3402

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
6404044352MIMDCounselor

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": "1793059200000",
    "number": "1427430552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5150 SUNSET DR",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492035647",
            "telephone_number": "517-392-3402",
            "fax_number": "517-392-3402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5150 SUNSET DR",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492035647",
            "telephone_number": "517-392-3402",
            "fax_number": "517-392-3402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOSGATE",
        "first_name": "CHERYL",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-25",
        "last_updated": "2026-10-27",
        "certification_date": "2026-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401011352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2026; 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.