=====================================================
General NPI Number Information
=====================================================
NPI Number | 1578489423
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | JESSICA FOERCH LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/25/2026
-----------------------------------------------------
Last Update Date | 06/25/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 8083 TORREMOLINOS AVE
-----------------------------------------------------
City | LAS VEGAS
-----------------------------------------------------
State | NV
-----------------------------------------------------
Zip | 89178-3820
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 303-817-0608
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 860 HICKORY LN
-----------------------------------------------------
City | FOWLER
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 48835-9147
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 303-817-0608
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | MRS. JESSICA JOY FOERCH
-----------------------------------------------------
Credential | MA
-----------------------------------------------------
Telephone | 303-817-0608
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YM0800X
-----------------------------------------------------
Taxonomy Name | Mental Health Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------