Individual provider Active NPI

Micah Joe Foster

  • Mental Health Counselor
  • Midland, NC
National Provider Identifier
1639932130
Registry record updated Feb 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A19664 Issued in NC
Practice address
4310 Thermal Ave Ste C
Midland, NC 28107-9393
Phone
(704) 888-1616
Fax
(704) 888-1670
NPI assigned
Feb 6, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X A19664 NC Primary

Addresses

Primary practice location

4310 Thermal Ave Ste C
Midland, NC 28107-9393

Mailing address

PO Box 487
Locust, NC 28097-0487
Phone (704) 888-1616

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

LicenseStateTypeSpecialty
A19664NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Path Counseling Group, PLLC Mental Health CurrentSince Feb 11, 2024 Accepting new patients

Locations

4310 Thermal Ave
#C
Midland, NC 28107
Phone (704) 888-1616

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1707177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1639932130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 487",
            "city": "LOCUST",
            "state": "NC",
            "postal_code": "280970487",
            "telephone_number": "704-888-1616",
            "fax_number": "704-888-1670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4310 THERMAL AVE STE C",
            "city": "MIDLAND",
            "state": "NC",
            "postal_code": "281079393",
            "telephone_number": "704-888-1616",
            "fax_number": "704-888-1670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOSTER",
        "first_name": "MICAH",
        "middle_name": "JOE",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-02-06",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A19664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.

Verify at the official NPI Registry.