Individual provider Active NPI

Timothy Ryan Foster, LPC

  • Professional Counselor
  • Eau Claire, WI
National Provider Identifier
1982148722
Registry record updated Jul 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
7368-125 Issued in WI
Practice address
1235A Menomonie St
Eau Claire, WI 54703-5992
Phone
(715) 598-1568
Fax
(715) 800-0104
NPI assigned
Dec 13, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 7368-125 WI Primary

Addresses

Primary practice location

1235A Menomonie St
Eau Claire, WI 54703-5992

Mailing address

3409 Locust LN
Eau Claire, WI 54703-7102
Phone (715) 577-9397

Other practice location 1

2194 Eastridge Ctr
Eau Claire, WI 54701-3403
Phone (715) 598-1568

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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

Enrollment IDStateProvider typePAC IDDetails
I20240212001985 WI Practitioner - Mental Health Counselor 3870936305 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northern Woods Wellness LLCGroup PAC ID 6901328558, 2 clinicians

Practice addresses (Care Compare)

1235 A Menomonie St
Eau Claire, WI 54703-5974
Phone (715) 598-1568

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Woods Wellness LLC Professional CurrentSince Mar 1, 2025 Accepting new patients
Cullain LLC PastSince Oct 19, 2011 Accepting new patients

Locations

1235A Menomonie St
Eau Claire, WI 54703
Phone (715) 598-1568

2194 Eastridge Ctr
Eau Claire, WI 54701
Phone (715) 598-1568

1001 W Glen Oaks Ln
Ste 105
Mequon, WI 53092
Phone (414) 258-8314

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1481587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751500800000",
    "number": "1982148722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3409 LOCUST LN",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547037102",
            "telephone_number": "715-577-9397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235A MENOMONIE ST",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547035992",
            "telephone_number": "715-598-1568",
            "fax_number": "715-800-0104"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2194 Eastridge Ctr",
            "address_purpose": "LOCATION",
            "city": "Eau Claire",
            "state": "WI",
            "postal_code": "547013403",
            "country_code": "US",
            "telephone_number": "715-598-1568",
            "fax_number": "715-800-0104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOSTER",
        "first_name": "TIMOTHY",
        "middle_name": "RYAN",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-12-13",
        "last_updated": "2025-07-03",
        "certification_date": "2025-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "7368-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eau Claire, WI

Sources for this page

Verify at the official NPI Registry.