Fundamental Foundations Counseling Center, PLLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

FUNDAMENTAL FOUNDATIONS COUNSELING CENTER, PLLC

Practice address

2601 Little Elm Pkwy Ste 302
Little Elm, TX 75068-1919

Phone

(214) 475-0345

Fax

(214) 935-3302

NPI assigned

Jul 14, 2021

Organization subpart

No

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

Authorized official

Name

Shahidrah R Cowgill, LPC-SNPI 1205134608

Title

Owner/Clinical Director

Phone

(214) 475-0345

Specialties & licenses 7

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shahidrah R. Cowgill, M.A., LPC-S, NCC

  • Professional Counselor
  • Little Elm, TX
  • NPI 1205134608
  NPD Authorized official
• Katelynn Frum, LPC

  • Professional Counselor
  • Little Elm, TX
  • NPI 1801479001
  NPD
• Makesha Givs

  • Counselor
  • Little Elm, TX
  • NPI 1487507919
  NPD (past)

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

{
    "created_epoch": "1626220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626220800000",
    "number": "1841862323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 LITTLE ELM PKWY STE 302",
            "city": "LITTLE ELM",
            "state": "TX",
            "postal_code": "750681919",
            "telephone_number": "214-475-0345",
            "fax_number": "214-935-3302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 LITTLE ELM PKWY STE 302",
            "city": "LITTLE ELM",
            "state": "TX",
            "postal_code": "750681919",
            "telephone_number": "214-475-0345",
            "fax_number": "214-935-3302"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 S Watters Rd Ste 219",
            "address_purpose": "LOCATION",
            "city": "Allen",
            "state": "TX",
            "postal_code": "750135228",
            "country_code": "US",
            "telephone_number": "214-475-0345",
            "fax_number": "214-935-3302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FUNDAMENTAL FOUNDATIONS COUNSELING CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-14",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A",
        "authorized_official_last_name": "COWGILL",
        "authorized_official_first_name": "SHAHIDRAH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "214-475-0345",
        "authorized_official_credential": "LPC-S"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "364SP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Treva Freeze
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• Constance M Froberg, LMFT
• Katelynn Frum, LPC
• Christopher Fulsom
• Emediong Gabriel
• Ethan David Gager, NP
• Deonica Gary, LCSW
• Emily Gaxiola, H.I.S.
• Stephanie Gentile, PMHNP-BC

• Professional Counselor in Little Elm, TX
• Providers in Little Elm, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.