Individual provider Active NPI

Mhairi Foster, LMHC

  • Mental Health Counselor
  • Melbourne, FL
National Provider Identifier
1649760489
Registry record updated Nov 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH22974 Issued in FL
Practice address
1825 Riverview Dr
Melbourne, FL 32901-4711
Phone
(321) 258-9537
Fax
(321) 541-9135
NPI assigned
May 17, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2023

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 MH22974 FL Primary

Addresses

Primary practice location

1825 Riverview Dr
Melbourne, FL 32901-4711

Mailing address

1825 Riverview Dr
Melbourne, FL 32901-4711
Phone (321) 258-9537

Other practice location 1

1211 Admiralty Blvd
Rockledge, FL 32955-5201
Phone (321) 258-9537

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240221002001 FL Practitioner - Mental Health Counselor 4082058755 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Burnham Woods Champa and AssociatesGroup PAC ID 8325049596, 7 clinicians

Practice addresses (Care Compare)

1970 Michigan Ave
BLDG J2
Cocoa, FL 32922-5732
Phone (321) 639-4483

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH22974FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Quality BHS Florida, LLC CurrentSince Jan 9, 2024 Accepting new patients
Burnham Woods Champa & Associates Mental Health CurrentSince Nov 4, 2024 Accepting new patients

Locations

1970 Michigan Ave
Ste J2
Cocoa, FL 32922
Phone (321) 252-9631

1970 Michigan Ave
Bldg J2
Cocoa, FL 32922
Phone (321) 639-4483

4250 66th St N
Kenneth City, FL 33709
Phone (350) 250-2435

5860 W Junior College Rd
Key West, FL 33040
Phone (305) 293-1299

1501 SE 24th Rd
Ocala, FL 34471
Phone (352) 257-7777

4801 SE Cove Rd
Stuart, FL 34997
Phone (732) 497-1150

100 S Ashley Dr
Ste 600
Tampa, FL 33602
Phone (813) 766-4218

2180 10th Ave
Vero Beach, FL 32960
Phone (772) 564-9511

Networks

  • Freedom Health HMO Network

Organizations & group practices 2

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": "1526515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701302400000",
    "number": "1649760489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 RIVERVIEW DR",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329014711",
            "telephone_number": "321-258-9537",
            "fax_number": "321-541-9135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 RIVERVIEW DR",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329014711",
            "telephone_number": "321-258-9537",
            "fax_number": "321-541-9135"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1211 Admiralty Blvd",
            "address_purpose": "LOCATION",
            "city": "Rockledge",
            "state": "FL",
            "postal_code": "329555201",
            "country_code": "US",
            "telephone_number": "321-258-9537",
            "fax_number": "321-541-9135",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOSTER",
        "first_name": "MHAIRI",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-17",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH22974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.