Footprints Counseling and Consulting

Primary specialty

Social WorkerTaxonomy code 104100000X

Legal business name

FOOTPRINTS COUNSELING AND CONSULTING

Practice address

4005 E 11 Mile Rd Ste 175
Warren, MI 48092-3000

Phone

(947) 517-7033

Fax

(517) 323-9531

NPI assigned

Aug 11, 2022

Last updated

Oct 17, 2022By 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

Cathy Gallegos

Title

Credentialing Manager

Phone

(517) 483-2461

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Toccara Bailey

  • Clinical Social Worker
  • Mount Clemens, MI
  • NPI 1568813871
  Medicare reassignment NPD

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

{
    "created_epoch": "1660176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665964800000",
    "number": "1841928371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4005 E 11 MILE RD STE 175",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480923000",
            "telephone_number": "947-517-7033",
            "fax_number": "517-323-9531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4005 E 11 MILE RD STE 175",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480923000",
            "telephone_number": "947-517-7033",
            "fax_number": "517-323-9531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOTPRINTS COUNSELING AND CONSULTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-11",
        "last_updated": "2022-10-17",
        "certification_date": "2022-10-17",
        "status": "A",
        "authorized_official_last_name": "GALLEGOS",
        "authorized_official_first_name": "CATHY",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "517-483-2461"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Focusunlocked Assessments, PLLC
• Ellen B. Folbe, D.D.S.
• Alessia Marie Fontana, OTR/L
• Foot Specialists, PC
• Isabella Foote
• Footspecialist PC (foot care institute of michigan)
• Ashley Foran
• Shelby Forbes
• Carmencita Ford-Fleifel, CRNA
• Forever Home Care LLC

• Social Worker in Warren, MI
• Providers in Warren, MI by specialty
• Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.