Deborah Maria Foster-Shealy

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

IMH21929 Issued in FL

Practice address

9822 Tapestry Park Cir Ste 206
Jacksonville, FL 32246-9260

Phone

(904) 716-7214

NPI assigned

Jun 12, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1686528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686528000000",
    "number": "1801570767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 DOWNS CORNER RD",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320921237",
            "telephone_number": "904-716-7214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9822 TAPESTRY PARK CIR STE 206",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322469260",
            "telephone_number": "904-716-7214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOSTER-SHEALY",
        "first_name": "DEBORAH",
        "middle_name": "MARIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-12",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH21929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bobbie Anne Fosdick, OTD, OTR/L
• Elizabeth Foskey
• Stephanie Foskey, ARNP
• Courtney Fosmoe
• Amy Beth Foss, RMHCI
• Cameron Foster, MD
• Catherine Foster, SLPA
• Desaree S Foster
• Halie Marie Foster, RBT
• Hannah Elizabeth Foster, PT,DPT

• Mental Health Counselor in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; 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.