Provider Demographics
NPI:1427597178
Name:FIRM FOUNDATIONS COUNSELING INC.
Entity Type:Organization
Organization Name:FIRM FOUNDATIONS COUNSELING INC.
Other - Org Name:ANGELA D. MCCLAIN DBA FIRM FOUNDATIONS COUNSELING
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:D
Authorized Official - Last Name:MCCLAIN
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC, LCAC
Authorized Official - Phone:785-228-5691
Mailing Address - Street 1:1601 SW 37TH ST
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66611-2646
Mailing Address - Country:US
Mailing Address - Phone:785-228-5691
Mailing Address - Fax:
Practice Address - Street 1:1601 SW 37TH ST
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66611-2646
Practice Address - Country:US
Practice Address - Phone:785-228-5691
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-14
Last Update Date:2017-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS536101YA0400X
KS2329101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS201086680AMedicaid
KS507044582OtherFORMER TAX IDENTIFICATION NUMBER