Fostering Change Counseling Services LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

FOSTERING CHANGE COUNSELING SERVICES LLC

Practice address

2826 Hillcreek Dr
Augusta, GA 30909-5628

Phone

(706) 447-9722

NPI assigned

Jan 6, 2017

Organization subpart

No

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

Authorized official

Name

Carlos Justavis FosterNPI 1518339878

Title

Ceo

Phone

(706) 447-9722

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carlos Foster, LCSW

  • Clinical Social Worker
  • Augusta, GA
  • NPI 1518339878

  Clinical

  NPD Authorized official

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

{
    "created_epoch": "1483660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705536000000",
    "number": "1669918231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3031 BROCKHAM CT",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309090629",
            "telephone_number": "706-945-9731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2826 HILLCREEK DR",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309095628",
            "telephone_number": "706-447-9722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOSTERING CHANGE COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-06",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "JUSTAVIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "706-447-9722"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carlos Foster, LCSW
• Carroll Wesson Foster, LCSW
• Cheryl Foster
• Dana Foster, PHD
• James A. Foster, MD
• Yogita Jamnadas Fotaria, M.D.
• Gabrielle Fountain, LMT
• Kimberly Teresa Fountain, MD,MS
• Alexandra Michelle Fowler
• Camille Fowler

• Clinical Social Worker in Augusta, GA
• Providers in Augusta, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.