KELLI FOULKROD (NPI# 1104203660) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104203660 |
| Entity Type | Individual |
| Full Name | KELLI FOULKROD |
| Practice Address |
4534 W Gate Blvd Suite 112 Austin TX 78745-1485 |
| Mailing Address |
6604 Bay City Bnd Austin TX 78725-2933 |
| Practice Telephone | 5125531563 |
| Enumeration Date | 2015-05-04 |
| Last Update Date | 2015-05-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 34465 | TX | Behavioral Health & Social Service Providers |
| Street Address |
4534 W GATE BLVD SUITE 112 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78745-1485 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811952203 | Kathryn A Smathers | Physical Therapist | 4534 W Gate Blvd, Town and Country Pt Ste 104, Austin, TX 78745-1485 | 2006-04-19 |
| 1326590001 | Abri Intergrated Health, Pllc | Counselor | 4534 W Gate Blvd, Suite 112, Austin, TX 78745-1485 | 2016-10-28 |
| 1356798334 | Erin Elizabeth Nightingale | Nurse Practitioner | 4534 W Gate Blvd, Austin, TX 78745-1485 | 2016-05-19 |
| 1841660990 | Eden Elizabeth Davisson | Social Worker | 4534 W Gate Blvd, Suite 112, Austin, TX 78745-1485 | 2015-10-01 |
| 1629468798 | Lise Nicole Smith | Hearing Instrument Specialist | 4534 W Gate Blvd, Suite 106, Austin, TX 78745-1485 | 2015-01-28 |
| 1063801702 | Lauren Reed | Nurse Practitioner | 4534 W Gate Blvd, Ste 108, Austin, TX 78745-1485 | 2015-01-19 |
| 1861804965 | Greg Marchand Family Medicine Pa | Family Medicine | 4534 W Gate Blvd, Suite113, Austin, TX 78745-1485 | 2014-05-22 |
| 1043563869 | Tekton Research, Inc. | Specialist | 4534 W Gate Blvd, Suite 110, Austin, TX 78745-1485 | 2012-10-17 |
| 1538471974 | Melissa Ann Cereceres | Marriage & Family Therapist | 4534 W Gate Blvd, Austin, TX 78745-1485 | 2010-07-13 |
| 1598995938 | Matthew P Morretta | Physical Therapist | 4534 W Gate Blvd, Suite 104, Austin, TX 78745-1485 | 2009-07-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023617511 | Samantha Lynne Weston | Speech-Language Pathologist | 8515 Brodie Lane, Apt 2011, Austin, TX 78745 | 2020-10-26 |
| 1275172686 | Nithphaphone Tracy Bounsing | Registered Nurse | 4316 James Casey St, Building F, Suite 201, Austin, TX 78745 | 2020-01-02 |
| 1225685712 | Integrative Medical Group of Texas | General Practice | 6905 West Gate Blvd. Ste A, Austin, TX 78745 | 2019-08-20 |
| 1962971499 | Kimberly Angela Mancini | Social Worker | 5015 South Ih 35 Frontage Road, Austin, TX 78745 | 2018-11-14 |
| 1093223885 | Emma Rose Marek | Speech-Language Pathologist | 2700 Norfolk Drive, Austin, TX 78745 | 2018-01-16 |
| 1528586690 | Ashley Ellison | Social Worker | 4201 South Congress, Austin, TX 78745 | 2017-09-08 |
| 1134666761 | Carey Sebera | Counselor | 2812 Goldbridge Dr, Austin, TX 78745 | 2017-01-20 |
| 1932644507 | Maya Conlon | Social Worker | 2501 W. William Cannon Dr., Bldg 6 Ste. A, Austin, TX 78745 | 2017-01-05 |
| 1285189134 | 512 Physical Therapy and Golf Performance Center | Physical Therapist | 6800 Westgate Blvd, Suite 117, Austin, TX 78745 | 2016-08-22 |
| 1326401803 | Chris Winkley | Physical Therapist | 5510 S Ih 35 Frontage Rd #240, Austin, TX 78745 | 2016-04-01 |
| Find all providers in zip 78745 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295345072 | Rebecca Summers | Counselor | 2208 E 14th St, Austin, TX 78702-1306 | 2020-08-05 |
| 1982221115 | Andrea Fackler | Counselor | 4425 S. Mopac Expressway, Building 3, Suite 503, Austin, TX 78735 | 2020-07-03 |
| 1609405307 | Tressie Dee Seegers | Counselor | 8700 Menchaca Rd Ste 202, Austin, TX 78748-5373 | 2020-04-04 |
| 1992339188 | Blake M Thompson | Counselor | 7004 Bee Caves Rd Ste 200, Austin, TX 78746-5004 | 2020-02-26 |
| 1558901850 | Jesse Bryan Snead | Counselor | 12124 Ranch Road 620 N, Austin, TX 78750-1079 | 2020-01-14 |
| 1285272765 | Lisa K Wheeler | Counselor | 2520 Longivew Street, Suite 313, Austin, TX 78705 | 2019-12-16 |
| 1013553411 | Carl Funk | Counselor | 600 W 28th St Ste 207, Austin, TX 78705-3798 | 2019-11-20 |
| 1265084289 | Austin Strong: Relationship Building Center | Counselor | 1714 Fortview Rd Ste 106a, Austin, TX 78704-7659 | 2019-07-10 |
| 1225690811 | April Mcanally | Counselor | 1010 Land Creek Cv Ste 150, Austin, TX 78746-7652 | 2019-07-03 |
| 1588225908 | Ensemble Therapy, Pllc | Counselor | 1213 W 49th St, Austin, TX 78756-3102 | 2019-06-26 |
| Find all providers in AUSTIN | ||||
Please comment or provide details below to improve the information on KELLI FOULKROD.
| 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.