Organization Active NPI

Foundation for Counseling LLC

  • Community/Behavioral Health Agency
  • Phoenix, AZ
National Provider Identifier
1982836565
Registry record updated Aug 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
LPC 2479 Issued in AZ
Legal business name
FOUNDATION FOR COUNSELING LLC
Practice address
15650 N Black Canyon Hwy Ste 130B
Phoenix, AZ 85053-4040
Phone
(602) 548-8733
Fax
(602) 548-3112
NPI assigned
Aug 17, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2009

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

Authorized official

Name
Mr. Mike D Luster, LPC
Title
Member
Phone
(602) 548-8733

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X LPC 2479 AZ Primary
Community/Behavioral Health Agency 251S00000X LPC 2478 AZ

Addresses

Primary practice location

15650 N Black Canyon Hwy Ste 130B
Phoenix, AZ 85053-4040

Mailing address

15650 N Black Canyon Hwy Ste 130B
Phoenix, AZ 85053-4040
Phone (602) 548-8733

National Provider Directory

National Provider Directory

Locations

15650 N Black Canyon Hwy
Ste 130B
Phoenix, AZ 85053
Phone (602) 548-8733

Practitioners & affiliated clinicians

Practitioners 2

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": "1250467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250467200000",
    "number": "1982836565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15650 N BLACK CANYON HWY STE 130B",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850534040",
            "telephone_number": "602-548-8733",
            "fax_number": "602-548-3112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15650 N BLACK CANYON HWY STE 130B",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850534040",
            "telephone_number": "602-548-8733",
            "fax_number": "602-548-3112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNDATION FOR COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-17",
        "last_updated": "2009-08-17",
        "status": "A",
        "authorized_official_last_name": "LUSTER",
        "authorized_official_first_name": "MIKE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "602-548-8733",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AZ",
            "license": "LPC 2479",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AZ",
            "license": "LPC 2478",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2009; 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.