Individual provider Active NPI

Jordan Foster, LCSW

  • Clinical Social Worker
  • Soquel, CA
National Provider Identifier
1437632189
Registry record updated Mar 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
2715 Porter St Ste 204
Soquel, CA 95073-2437
Phone
(831) 219-8249
NPI assigned
Sep 10, 2018
Last updated
Mar 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

2715 Porter St Ste 204
Soquel, CA 95073-2437

Mailing address

614 Bonita Dr
Aptos, CA 95003-4804
Phone (831) 219-8249

Other practice location 1

380 Encinal St Ste 200
Santa Cruz, CA 95060-2178
Phone (831) 469-1700

Other names 1

  • Jordan Boyer Former name

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jordan Foster Psychotherapy Inc. CurrentSince Mar 11, 2025 Accepting new patients

Locations

2715 Porter St
Ste 204
Soquel, CA 95073
Phone (650) 380-4821

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1536537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741219200000",
    "number": "1437632189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 BONITA DR",
            "city": "APTOS",
            "state": "CA",
            "postal_code": "950034804",
            "telephone_number": "831-219-8249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2715 PORTER ST STE 204",
            "city": "SOQUEL",
            "state": "CA",
            "postal_code": "950732437",
            "telephone_number": "831-219-8249"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "380 Encinal St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Santa Cruz",
            "state": "CA",
            "postal_code": "950602178",
            "country_code": "US",
            "telephone_number": "831-469-1700",
            "fax_number": "831-425-1905",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOSTER",
        "first_name": "JORDAN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-10",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JORDAN",
            "last_name": "BOYER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Soquel, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2025; 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.