Healthcare Provider Details
I. General information
NPI: 1104585678
Provider Name (Legal Business Name): FOSTER COUNSELING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/13/2021
Last Update Date: 10/20/2025
Certification Date: 10/20/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
114 W STATE ST
SYCAMORE IL
60178-1417
US
IV. Provider business mailing address
220 WINSLOW WAY
LAKE IN THE HILLS IL
60156-6224
US
V. Phone/Fax
- Phone: 779-800-5024
- Fax:
- Phone: 815-757-4440
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101Y00000X |
| Taxonomy | Counselor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103TC1900X |
| Taxonomy | Counseling Psychologist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
KATHERINE
HIGGINS
Title or Position: OWNER
Credential: LCPC
Phone: 779-800-5024