FUNDAMENTAL FOUNDATIONS COUNSELING CENTER, PLLC (NPI# 1417314089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417314089 |
| Entity Type | Organization |
| Organization Name | FUNDAMENTAL FOUNDATIONS COUNSELING CENTER, PLLC |
| Practice Address |
2770 Main St Ste. 280 Frisco TX 75033-4302 |
| Practice Telephone | 2144750345 |
| Practice Fax Number | 2149353302 |
| Mailing Telephone | 2144750345 |
| Mailing Fax Number | 2149353302 |
| Enumeration Date | 2016-01-27 |
| Last Update Date | 2016-01-27 |
| Authorized Official Name | SHAHIDRAH COWGILL (CEO/ CLINICAL DIRECTOR) |
| Authorized Official Telephone | 2144750345 |
| Authorized Official Credential | LPC-S, NCC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
64254 | TX | Behavioral Health & Social Service Providers |
| Street Address |
2770 MAIN ST STE. 280 |
| City | FRISCO |
| State | TX |
| Zip Code | 75033-4302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851858070 | Mary Hannah Katherine Key | Marriage & Family Therapist | 2770 Main St, Frisco, TX 75033-4302 | 2019-02-24 |
| 1467958835 | Bianca Angelina Mickan | Marriage & Family Therapist | 2770 Main St, Frisco, TX 75033-4302 | 2018-04-03 |
| 1568986867 | Liberty Quest Counseling, LLC | Counselor | 2770 Main St, Frisco, TX 75033-4302 | 2017-07-28 |
| 1265972244 | Linda Kovacevic | Massage Therapist | 2770 Main St, Suite 165, Frisco, TX 75033-4302 | 2017-02-24 |
| 1588109557 | Younity Wellness Center, LLC | Counselor | 2770 Main St, #185, Frisco, TX 75033-4302 | 2016-12-30 |
| 1639626252 | Ann Marie Kappel | Counselor | 2770 Main St, Suite 150, Frisco, TX 75033-4302 | 2016-09-01 |
| 1013461466 | Tyniesha Kirkendoll | Counselor | 2770 Main St, 142, Frisco, TX 75033-4302 | 2016-08-14 |
| 1467819029 | Mind Health Psychiatry Np, Pllc | Clinic/Center | 2770 Main St, Suite 147, Frisco, TX 75033-4302 | 2016-01-26 |
| 1437522299 | Inside Fitness | Counselor | 2770 Main St, 142, Frisco, TX 75033-4302 | 2015-11-02 |
| 1649641119 | Breakthrough Therapy of Frisco | Counselor | 2770 Main St, Suite 125, Frisco, TX 75033-4302 | 2015-10-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265041370 | Crown Billing LLC | Durable Medical Equipment & Medical Supplies | 10880 John W Elliot Dr., Ste 700, Frisco, TX 75033 | 2020-07-24 |
| 1205461019 | Affinity Dermatology Pllc | Dermatology | 13052 Dallas Parkway Suite 520, Frisco, TX 75033 | 2020-03-12 |
| 1780214114 | The University of Texas Southwestern Medical Center At Dallas | Pharmacy | 12500 Dallas Pwky, Ste 1.200, Frisco, TX 75033 | 2020-01-24 |
| 1811548050 | Dvt Elimination LLC | Durable Medical Equipment & Medical Supplies | 10880 John W Elliott Dr, Suite 700, Frisco, TX 75033 | 2019-09-27 |
| 1174008163 | Bobby Cineus Renaud | Registered Nurse | 1801 Mccord Way Apt 813, Frisco, TX 75033 | 2018-09-26 |
| 1740762186 | Lisa Powell | Physical Therapist | 3280 Appleblossom Dr, Frisco, TX 75033 | 2018-09-01 |
| 1992283519 | Crown Medical Billing | Durable Medical Equipment & Medical Supplies | 10880 John W Elliott Dr., Suite 700, Frisco, TX 75033 | 2018-08-06 |
| 1780175497 | Kendall Marie Schatzle | Occupational Therapist | 10050 Legacy Dr Ste 200, Frisco, TX 75033 | 2018-05-29 |
| 1932615234 | Pediatrics Plus Therapy | Pediatrics | 6025 Sports Village Road, Frisco, TX 75033 | 2017-12-21 |
| 1932611704 | Parul Vashisht | Dentist | 1606 Fm 423, Suite 200, Frisco, TX 75033 | 2017-11-01 |
| Find all providers in zip 75033 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447864913 | Elizabeth Anne Sheaffer | Counselor | 101 W Main St Ste 101, Frisco, CO 80443-5513 | 2020-09-02 |
| 1699337030 | Stacie Marie Martin | Counselor | 8668 John Hickman Pkwy Ste 303, Frisco, TX 75034-8181 | 2019-07-06 |
| 1841850302 | Mary Jane Rossi-burns | Counselor | 8641 5th St Unit W2, Frisco, TX 75034-4290 | 2019-06-17 |
| 1851956585 | Victor U Ukwedeh | Counselor | 11617 Lake Front Dr, Frisco, TX 75036-7693 | 2019-05-08 |
| 1104383405 | Shantee L Mayfield | Counselor | 1750 Fm 423 Apt 821, Frisco, TX 75033-0524 | 2019-02-23 |
| 1952876161 | Hannah Mcwhorter Olszewski | Counselor | 409 E Main St Suite 220 H, Frisco, CO 80443 | 2018-10-04 |
| 1962901108 | Kevin Lee Mimms | Counselor | 8641 5th St Ste W6, Frisco, TX 75034-4290 | 2018-02-02 |
| 1568973220 | Baird Counseling | Counselor | 10644 Bartlett Dr, Frisco, TX 75035-8805 | 2017-10-19 |
| 1033644315 | Monika Morf Dickins | Counselor | 8241 Willow Creek Dr, Frisco, TX 75034-5522 | 2017-04-25 |
| 1700338134 | Lori Kennedy | Counselor | 7242 Main St, Frisco, TX 75033-5359 | 2016-11-02 |
| Find all providers in FRISCO | ||||
Please comment or provide details below to improve the information on FUNDAMENTAL FOUNDATIONS COUNSELING CENTER, PLLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.