NPIMap

Organization Active NPI

Foundations Counseling PLLC

  • Counselor
  • Colleyville, TX
National Provider Identifier
1962072041
Registry record updated Feb 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
FOUNDATIONS COUNSELING PLLC
Practice address
7165 Colleyville Blvd Ste 103
Colleyville, TX 76034-8011
Phone
(817) 697-4777
NPI assigned
Jun 30, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2024

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

Authorized official

Name
Russell Adam Baxter II, LPC-SUPERVISORNPI 1750707139
Title
Owner
Phone
(817) 697-4777

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X Primary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X

Addresses

Primary practice location

7165 Colleyville Blvd Ste 103
Colleyville, TX 76034-8011

Mailing address

7165 Colleyville Blvd Ste 103
Colleyville, TX 76034-8011
Phone (817) 697-4777

Other identifiers 1

IdentifierTypeStateIssuer
1750707139OtherNPI 1

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.foundationscounselingpllc.com Direct

National Provider Directory

National Provider Directory

Locations

7165 Colleyville Blvd
Ste 103
Colleyville, TX 76034
Phone (817) 697-4777

2900 W Southlake Blvd
Ste 180
Southlake, TX 76092

Practitioners & affiliated clinicians

Practitioners 9

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

NPI Registry JSON

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

{
    "created_epoch": "1625011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707436800000",
    "number": "1962072041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7165 COLLEYVILLE BLVD STE 103",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760348011",
            "telephone_number": "817-697-4777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7165 COLLEYVILLE BLVD STE 103",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760348011",
            "telephone_number": "817-697-4777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNDATIONS COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-30",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A",
        "authorized_official_last_name": "BAXTER",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "ADAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-697-4777",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "LPC-SUPERVISOR"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI 1",
            "identifier": "1750707139",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.foundationscounselingpllc.com",
            "affiliation": "N",
            "endpointDescription": "HIPPA Compliant Fax",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7165 Colleyville Blvd Ste 103",
            "city": "Colleyville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760348011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Colleyville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2024; 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.