Individual provider Active NPI

Cheryl Nikki Foxworth, MA, LMFT, AS

  • Mental Health Counselor
  • Jenkintown, PA
National Provider Identifier
1942779392
Registry record updated Apr 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MF000810 Issued in PA
Practice address
610 York Road
Suite 400
Jenkintown, PA 19046-2837
Phone
(267) 627-3026
NPI assigned
Nov 15, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MF000810 PA Primary

Addresses

Primary practice location

610 York Road
Suite 400
Jenkintown, PA 19046-2837

Mailing address

7171 N Uber St
Philadelphia, PA 19138-2115
Phone (215) 828-0890

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Associate of Science, Master of Arts

State licenses

LicenseStateTypeSpecialty
MF000810PAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1542240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588032000000",
    "number": "1942779392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7171 N UBER ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191382115",
            "telephone_number": "215-828-0890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 YORK ROAD",
            "address_2": "SUITE 400",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190462837",
            "telephone_number": "267-627-3026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOXWORTH",
        "first_name": "CHERYL",
        "middle_name": "NIKKI",
        "name_prefix": "Ms.",
        "credential": "MA, LMFT, AS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-15",
        "last_updated": "2020-04-28",
        "certification_date": "2020-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "MF000810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jenkintown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2020; 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.