Foundations for Living, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

FOUNDATIONS FOR LIVING, LLC

Practice address

41 Pine St Ste 100
Rockaway, NJ 07866-3139

Phone

(405) 426-0791

NPI assigned

Apr 5, 2021

Last updated

Apr 10, 2025By 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

Justin L Wells, LCSWNPI 1104047356

Title

Ceo

Phone

(405) 426-0791

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

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.

• Justin L Wells, LCSW, DSL, MFT

  • Social Worker
  • Mechanicsburg, PA
  • NPI 1104047356

  Clinical, NJ

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1617580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744243200000",
    "number": "1861071003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 PINE ST STE 100",
            "city": "ROCKAWAY",
            "state": "NJ",
            "postal_code": "078663139",
            "telephone_number": "405-426-0791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 PINE ST STE 100",
            "city": "ROCKAWAY",
            "state": "NJ",
            "postal_code": "078663139",
            "telephone_number": "405-426-0791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNDATIONS FOR LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-05",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "405-426-0791",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Layla Kiana Figueroa
• Ashley List Fitzgerald, OTR/L
• Flex Wellness
• Shari Carla Flowers, M.D.
• Forward Thinking Mental Wellness
• Nichole Anne Franco, OTR
• Lawrence Friedman, M.D.
• Brendan Gallagher, PT, DPT
• Dhara Gandhi
• Giovanna Christina Garcia, OTR/L

• Clinical Social Worker in Rockaway, NJ
• Providers in Rockaway, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2025; 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.