Active NPI
Foundations Therapeutic Services, LLC
- Clinical Social Worker
- Palmer, AK
National Provider Identifier
1639733496
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- FOUNDATIONS THERAPEUTIC SERVICES, LLC
- Practice address
- 1901 N Hemmer Rd Ste 209
Palmer, AK 99645-9690 - Phone
- (907) 331-0123
- NPI assigned
- Apr 26, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Carolina Hernandez Powers, LCSW
- Title
- Owner
- Phone
- (907) 331-0123
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary | ||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X |
Addresses
Primary practice location
1901 N Hemmer Rd Ste 209
Palmer, AK 99645-9690
Mailing address
PO Box 1723
Palmer, AK 99645-1723
National Provider Directory
National Provider DirectoryLocations
5099 E Blue Lupine Dr
Ste 211
Wasilla, AK 99654
Phone (907) 331-0123
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Anchorage, AK
- NPI 1639769128
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556236800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1703635200000",
"number": "1639733496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1723",
"city": "PALMER",
"state": "AK",
"postal_code": "996451723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 N HEMMER RD STE 209",
"city": "PALMER",
"state": "AK",
"postal_code": "996459690",
"telephone_number": "907-331-0123"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOUNDATIONS THERAPEUTIC SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-04-26",
"last_updated": "2023-12-27",
"certification_date": "2023-11-11",
"status": "A",
"authorized_official_last_name": "HERNANDEZ POWERS",
"authorized_official_first_name": "CAROLINA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "907-331-0123",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palmer, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.