Foundations Therapy & Wellness Center, PLLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

FOUNDATIONS THERAPY & WELLNESS CENTER, PLLC

Practice address

3701 Pender Dr Ste 530
Fairfax, VA 22030-0988

Phone

(703) 594-6523

NPI assigned

Oct 14, 2024

Organization subpart

No

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

Authorized official

Name

John Louis Ehlers III, M.A., LPC, NCCNPI 1710423421

Title

Co-Owner

Phone

(703) 594-6523

Specialties & licenses 3

Addresses

Locations

Practitioners 1

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

• John Louis Ehlers III, M.A., LPC, NCC

  • Professional Counselor
  • Fairfax, VA
  • NPI 1710423421
  NPD Authorized official

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

{
    "created_epoch": "1728864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728864000000",
    "number": "1689494668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 PENDER DR STE 530",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220300988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 PENDER DR STE 530",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220300988",
            "telephone_number": "703-594-6523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNDATIONS THERAPY & WELLNESS CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-14",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A",
        "authorized_official_last_name": "EHLERS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "703-594-6523",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.A., LPC, NCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ladan Foruraghi, FNP
• Leah Nicole Foster, M.D.
• Stephen Christopher Foster, CRANIAL PROSTHESIS S
• Charlotte E Foulkes Deromero, CRNA
• Kaiesha Fountain, M. ED
• Four Seasons Acupuncture & Wellness
• Lisa Wilcox Fowler, RPH
• John Fox
• Michael Andrew Fox, MD

• Professional Counselor in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.