Kelly Charice Foster, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401019071 Issued in MI

Practice address

6276 Jackson Rd Ste D
Ann Arbor, MI 48103-9579

Phone

(734) 956-0051

Fax

(888) 976-6019

NPI assigned

Oct 8, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Kelly Drayton Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ann Arbor Counseling Associates LLCGroup PAC ID 8325315955, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ann Arbor Counseling Associates, LLC

  • Mental Health Counselor
  • Ann Arbor, MI
  • NPI 1881932283
  Medicare reassignment Care Compare group
• Arbor West Chiropractic Center P.C.

  • Chiropractor
  • Ann Arbor, MI
  • NPI 1467529453
  NPD (past)

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

{
    "created_epoch": "1412726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615766400000",
    "number": "1912300666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24623 CHARLES DR",
            "city": "BROWNSTOWN",
            "state": "MI",
            "postal_code": "481835463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6276 JACKSON RD STE D",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481039579",
            "telephone_number": "734-956-0051",
            "fax_number": "888-976-6019"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24623 Charles Dr",
            "address_purpose": "LOCATION",
            "city": "Brownstown",
            "state": "MI",
            "postal_code": "481835463",
            "country_code": "US",
            "telephone_number": "734-775-6640",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOSTER",
        "first_name": "KELLY",
        "middle_name": "CHARICE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-08",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401019071",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1912300666",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "billing@annarborcounselingservices.com",
            "affiliation": "N",
            "endpointDescription": "Secure Encrypted Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6276 Jackson Rd Ste D",
            "city": "Ann Arbor",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481039579",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "DRAYTON",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Carlton J Foster, O.D.
• Catherine L. Foster, MD
• Jacob Foster, LLMSW CANDIDATE
• Katelyn Foster
• Katherine Foster, B.A.
• Shari Ann Foster, LMSW
• Fostering Futures
• Charles Elliott Foucar, MD
• Ahmed Fouda, PHARMD, PHD, BCMTMS
• Mariko A Foulk, MSW

• Professional Counselor in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.