Footprints Outreach and Support

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Legal business name

FOOTPRINTS OUTREACH AND SUPPORT

Practice address

618 McElwain CT
Bowling Green, KY 42101-3524

Phone

(270) 846-6335

NPI assigned

Feb 16, 2021

Last updated

Feb 16, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Michael Ray Cantrell, APSS, CPRS, TRADPSS

Title

Executive Director

Phone

(270) 846-6335

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1613433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613433600000",
    "number": "1780277293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 CLEARVIEW ST",
            "city": "FRANKLIN",
            "state": "KY",
            "postal_code": "421342037",
            "telephone_number": "270-846-6335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 MCELWAIN CT",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421013524",
            "telephone_number": "270-846-6335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOTPRINTS OUTREACH AND SUPPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-16",
        "last_updated": "2021-02-16",
        "certification_date": "2021-02-16",
        "status": "A",
        "authorized_official_last_name": "CANTRELL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "270-846-6335",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "APSS, CPRS, TRADPSS"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Kay Flores, LCSW
• Yasmean Fogle
• Adeola Oluwatosin Folayan, CRNA
• Chad Alan Folk, D.C., CCEP, CCSP
• Cynthia L Fondren, LMFT
• Stacey Marie Ford, LMT
• Raja Forte
• Amber Jones Foster, RDN, LD
• Leah Foster
• Susan Foster

• Case Manager/Care Coordinator in Bowling Green, KY
• Providers in Bowling Green, KY by specialty
• Case Manager/Care Coordinator in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2021; 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.