MEDICARE: FOUNDATIONS THERAPY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1831051218
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FOUNDATIONS THERAPY

Provider Business Mailing Address
First Line	:	4100 19 1/2 LN NW
Second Line	:
City	:	ROCHESTER
State	:	MN
Zip	:	55901-0462
Country	:	US
Telephone Number	:	507-271-9524
Fax Number	:

Provider Business Practice Location Address
First Line	:	3338 19TH ST NW STE 101
Second Line	:
City	:	ROCHESTER
State	:	MN
Zip	:	55901-6781
Country	:	US
Telephone Number	:	507-271-9517
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JOAN-MARIE KIEFER
Credential	:	LPCC
Telephone Number	:	507-271-9524

Provider Enumeration Date	:	11/24/2025
Last Update Date	:	11/24/2025

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Directions to “FOUNDATIONS THERAPY ” Practice Location

Language	Start Address	Practice Location

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