Individual provider Active NPI

Glenn Andrew Foster, MA

  • Professional Counselor
  • Kalamazoo, MI
National Provider Identifier
1770928004
Registry record updated May 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401013369 Issued in MI
Practice address
2280 S 11TH St Ste 225
Kalamazoo, MI 49009-1910
Phone
(269) 359-0901
NPI assigned
Apr 30, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6401013369 MI Primary

Addresses

Primary practice location

2280 S 11TH St Ste 225
Kalamazoo, MI 49009-1910

Mailing address

2520 Benton Ave
Kalamazoo, MI 49008-2733

Other practice location 1

1090 N 10th St
Kalamazoo, MI 49009-5733
Phone (269) 375-4363

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
6401013369MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Foster Synergy Professional Current Accepting new patients
Cornerstone Christian Counseling PC Professional CurrentSince Jul 12, 2024 Accepting new patients

Locations

2425 S 11th St
Ste A
Kalamazoo, MI 49009
Phone (269) 375-4363

2280 S 11th St
Ste 225
Kalamazoo, MI 49009
Phone (209) 645-2577

1090 N 10th St
Ste 110
Kalamazoo, MI 49009
Phone (269) 375-4363

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": "1367280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779753600000",
    "number": "1770928004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 BENTON AVE",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490082733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2280 S 11TH ST STE 225",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490091910",
            "telephone_number": "269-359-0901"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1090 N 10th St",
            "address_purpose": "LOCATION",
            "city": "Kalamazoo",
            "state": "MI",
            "postal_code": "490095733",
            "country_code": "US",
            "telephone_number": "269-375-4363",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOSTER",
        "first_name": "GLENN",
        "middle_name": "ANDREW",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-30",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401013369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

Verify at the official NPI Registry.