Stephen Laroy Foster Jr., QMHP, CSAC-E

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

739 Thimble Shoals Blvd Ste 1003
Newport News, VA 23606-3585

Phone

(757) 947-5500

Fax

(757) 299-8317

NPI assigned

Jan 12, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

Practice roles

Locations

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.

• Foundations to Success, LLC

  • Community/Behavioral Health Agency
  • Newport News, VA
  • NPI 1538887898

  Mental Health

  Medicare reassignment NPD Authorized official
• Foundations to Success, LLC

  dba FTS Private Practices

  • Psychiatric/Mental Health Registered Nurse
  • Hampton, VA
  • NPI 1700779303
  NPD Authorized official

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

{
    "created_epoch": "1673481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673481600000",
    "number": "1447964531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "739 THIMBLE SHOALS BLVD STE 1003",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236063585",
            "telephone_number": "757-947-5500",
            "fax_number": "757-299-8317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "739 THIMBLE SHOALS BLVD STE 1003",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236063585",
            "telephone_number": "757-947-5500",
            "fax_number": "757-299-8317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOSTER",
        "first_name": "STEPHEN",
        "middle_name": "LAROY",
        "name_suffix": "Jr.",
        "credential": "QMHP, CSAC-E",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-12",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "84-4678639",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "foundationstosuccess.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "739 Thimble Shoals Blvd Ste 1003",
            "city": "Newport News",
            "state": "VA",
            "country_code": "US",
            "postal_code": "236063585",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Marc Christopher Forrest, MSPT
• Timothy Shane Forsythe, DO
• Lilia Fortune
• Forward LLC
• Megan Elizabeth Foster, FNP-C
• Tawania T Foster, RN
• Vinson M Foster, LMT, CMT
• Afaribea Fosu, PMHNP-BC
• Rondejah Foulks
• Foundations Supportive Services LLC (Charter Counseling Services)

• Mental Health Counselor in Newport News, VA
• Providers in Newport News, VA by specialty
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.