Organization Active NPI

Foundations Therapeutic Services, LLC

  • Clinical Social Worker
  • Palmer, AK
National Provider Identifier
1639733496
Registry record updated Dec 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
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

Updated by the provider on Dec 27, 2023

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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.