Active NPI
Michael Brian Foder Jr.
- Mental Health Counselor
- South Abington Township, PA
National Provider Identifier
1588396980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 585 Epirus HL
South Abington Township, PA 18411-8898 - Phone
- (570) 351-4011
- NPI assigned
- Jun 26, 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
585 Epirus HL
South Abington Township, PA 18411-8898
Mailing address
585 Epirus HL
South Abington Township, PA 18411-8898
Phone (570) 351-4011
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| YYM109523258001 | Other | PA | HIGHMARK BCBS PPO BLUE |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656201600000",
"number": "1588396980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "585 EPIRUS HL",
"city": "SOUTH ABINGTON TOWNSHIP",
"state": "PA",
"postal_code": "184118898",
"telephone_number": "570-351-4011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "585 EPIRUS HL",
"city": "SOUTH ABINGTON TOWNSHIP",
"state": "PA",
"postal_code": "184118898",
"telephone_number": "570-351-4011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FODER",
"first_name": "MICHAEL",
"middle_name": "BRIAN",
"name_suffix": "Jr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-06-26",
"last_updated": "2022-06-26",
"certification_date": "2022-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BCBS PPO BLUE",
"identifier": "YYM109523258001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in South Abington Township, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.