MEDICARE: FOSTER SYNERGY

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	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1528915725
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FOSTER SYNERGY

Provider Business Mailing Address
First Line	:	2280 S 11TH ST STE 225
Second Line	:
City	:	KALAMAZOO
State	:	MI
Zip	:	49009-1910
Country	:	US
Telephone Number	:	269-359-0901
Fax Number	:

Provider Business Practice Location Address
First Line	:	2280 S 11TH ST STE 225
Second Line	:
City	:	KALAMAZOO
State	:	MI
Zip	:	49009-1910
Country	:	US
Telephone Number	:	269-359-0901
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	GLENN A FOSTER
Credential	:	LPC
Telephone Number	:	269-359-0901

Provider Enumeration Date	:	03/16/2026
Last Update Date	:	05/26/2026

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Directions to “FOSTER SYNERGY ” Practice Location

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