MEDICARE: THE FOUNDRY COUNSELING CENTER LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	101YM0800X	Mental Health Counselor
2	101Y00000X	Counselor
3	104100000X	Social Worker
4	101YP2500X	Professional Counselor
5	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1851252498
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE FOUNDRY COUNSELING CENTER LLC

Provider Business Mailing Address
First Line	:	106 SAW MILL RD
Second Line	:
City	:	SAINT ROBERT
State	:	MO
Zip	:	65584-4711
Country	:	US
Telephone Number	:	208-757-8949
Fax Number	:

Provider Business Practice Location Address
First Line	:	839 VFW MEMORIAL DR STE 4
Second Line	:
City	:	SAINT ROBERT
State	:	MO
Zip	:	65584-4775
Country	:	US
Telephone Number	:	573-337-7775
Fax Number	:

Authorized Official
Title or Position	:	OWNER/MANAGER
Name	:	ERICA ASBELL
Credential	:	LCSW RPT
Telephone Number	:	208-757-8949

Provider Enumeration Date	:	11/22/2025
Last Update Date	:	01/09/2026

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