Alisha Foster, MSW
Individual provider Active NPI Mental Health Counselor · Vienna, IL
NPI 1760809487 · NPPES record last updated Mar 19, 2014
Key facts
- NPI
- 1760809487
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 408 E Vine St
Vienna, IL 62995-1612 - Phone
- (618) 658-2611
- NPI assigned
- Mar 19, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Counseling Center | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
408 E Vine St
Vienna, IL 62995-1612
Mailing address
PO Box 1328
Vienna, IL 62995-1328
Phone (618) 658-2611
NPI Registry JSON
{
"created_epoch": "1395187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395187200000",
"number": "1760809487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1328",
"city": "VIENNA",
"state": "IL",
"postal_code": "629951328",
"telephone_number": "618-658-2611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "408 E VINE ST",
"city": "VIENNA",
"state": "IL",
"postal_code": "629951612",
"telephone_number": "618-658-2611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOSTER",
"first_name": "ALISHA",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-19",
"last_updated": "2014-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vienna, IL
- Carol Sue Fairless
- Family Counseling Center
- Alyssa Ferguson
- Caleb Fishback
- Frank E Forthman
- Sade Fritz
- Chelsey Gilliam
- Julie Gleason
- Glen Brook
- Whitney Jean Gossett
All providers in Vienna, IL · Mental Health Counselor in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 19, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.