Active NPI
Jeanine L Foreman, LPC
- Professional Counselor
- Prescott Valley, AZ
National Provider Identifier
1760464861
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC10878
- Practice address
- 8030 E Spouse Dr
Suite B
Prescott Valley, AZ 86314-6184 - Phone
- (928) 759-0033
- Fax
- (928) 759-0066
- NPI assigned
- Nov 16, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC10878 | AZ | Primary |
Addresses
Primary practice location
8030 E Spouse Dr
Suite B
Prescott Valley, AZ 86314-6184
Mailing address
8030 E Spouse Dr
Suite B
Prescott Valley, AZ 86314-6184
Phone (928) 759-0033
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
| License | State | Type | Specialty |
|---|---|---|---|
| LPC10878 | AZ | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445299200000",
"number": "1760464861",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8030 E SPOUSE DR",
"address_2": "SUITE B",
"city": "PRESCOTT VALLEY",
"state": "AZ",
"postal_code": "863146184",
"telephone_number": "928-759-0033",
"fax_number": "928-759-0066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8030 E SPOUSE DR",
"address_2": "SUITE B",
"city": "PRESCOTT VALLEY",
"state": "AZ",
"postal_code": "863146184",
"telephone_number": "928-759-0033",
"fax_number": "928-759-0066"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOREMAN",
"first_name": "JEANINE",
"middle_name": "L",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-11-16",
"last_updated": "2015-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AZ",
"license": "LPC10878",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Prescott Valley, AZ
- Lisa Marie Flynn, RN
- Bibina Fonjong, PHARMACIST
- Foothills Sports Medicine & Rehabilitation - Prescott Valley, Inc
- Forefront Dermatology SC (Arizona Dermatology Group, a Forefront Dermatology Practice)
- Forefront Dermatology SC (Arizona Dermatology Group, a Forefront Dermatology Practice)
- Founders Healthcare, LLC (Preferred Homecare)
- Brenda Cherie Fox, LPC
- Rachel Frainey, LCSW
- Franklin Phonetic Primary School
- David Frausto Jr., DDS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.