Active NPI
Jeremy L Foster
- Counselor
- Las Cruces, NM
National Provider Identifier
1538819826
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 20240242
- Practice address
- 225 E Idaho Ave
Las Cruces, NM 88005-3257 - Phone
- (575) 209-4269
- NPI assigned
- Mar 28, 2022
- Sex
- Male
- 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 | 20240242 | NM | Primary |
Addresses
Primary practice location
225 E Idaho Ave
Las Cruces, NM 88005-3257
Mailing address
225 E Idaho Ave
Las Cruces, NM 88005-3257
Phone (575) 209-4269
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 |
|---|---|---|---|
| 20240242 | NM | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713398400000",
"number": "1538819826",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 E IDAHO AVE",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880053257",
"telephone_number": "575-209-4269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 E IDAHO AVE",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880053257",
"telephone_number": "575-209-4269"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOSTER",
"first_name": "JEREMY",
"middle_name": "L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-03-28",
"last_updated": "2024-04-18",
"certification_date": "2024-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NM",
"license": "20240242",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Cruces, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.