Foundations Mental Health Center, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

072360 Issued in IA

Legal business name

FOUNDATIONS MENTAL HEALTH CENTER, LLC

Practice address

3450 S Lakeport St
Suite B
Sioux City, IA 51106-4543

Phone

(712) 252-7170

Fax

(712) 252-7173

NPI assigned

Aug 10, 2015

Organization subpart

No

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

Authorized official

Name

Amy Hecht, LMHC, NCC, CCTP

Title

Owner, Clinical Director

Phone

(712) 252-7170

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Therapeutic Reflections, Inc Former legal business name

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

{
    "created_epoch": "1439164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523923200000",
    "number": "1457737793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 S LAKEPORT ST",
            "address_2": "SUITE B",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511064543",
            "telephone_number": "712-252-7170",
            "fax_number": "712-252-7173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3450 S LAKEPORT ST",
            "address_2": "SUITE B",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511064543",
            "telephone_number": "712-252-7170",
            "fax_number": "712-252-7173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNDATIONS MENTAL HEALTH CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-10",
        "last_updated": "2018-04-17",
        "status": "A",
        "authorized_official_last_name": "HECHT",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "OWNER, CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "712-252-7170",
        "authorized_official_credential": "LMHC, NCC, CCTP"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IA",
            "license": "14090",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "072360",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IA",
            "license": "072360",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "600968049",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Therapeutic Reflections, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Community/Behavioral Health Agency in Sioux City, IA
• Providers in Sioux City, IA by specialty
• Community/Behavioral Health Agency in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2018; 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.