JORDAN FOSTER PSYCHOTHERAPY INC.
NPI 1740093079
Clinic/Center - Mental Health (Including Community Mental Health Center) in Soquel, CA

Active since January 30, 2025
2715 PORTER ST STE 204, SOQUEL, CA 95073(831) 219-8249 Get Directions Write a Review

NPPES record last updated: March 6, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 6, 2025, Feb 25, 2025 (2 updates tracked since 2025).

  • Organization
  • Clinic/Center
  • Mental Health (Including Community Menta...

About JORDAN FOSTER PSYCHOTHERAPY INC.

This page provides the complete NPI Profile along with additional information for Jordan Foster Psychotherapy Inc., a provider established in Soquel, California operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1740093079 assigned on January 2025. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Jordan Foster Lcsw (Owner)

NPI
1740093079 Verify this NPI
Provider Name
JORDAN FOSTER PSYCHOTHERAPY INC.
Entity Type
Organization
Location Address
2715 PORTER ST STE 204 SOQUEL, CA 95073
Location Phone
(831) 219-8249
Mailing Address
614 BONITA DR APTOS, CA 95003
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-30-2025
Last Update Date
03-06-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Mental Health (Including Community Mental Health Center)

Taxonomy Code
261QM0801X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JORDAN FOSTER LCSW

Authorized Official Title
OWNER
Authorized Official Phone
(415) 497-6068

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Marriage & Family Therapist
2715 PORTER ST STE 204
SOQUEL, CA 95073
Social Worker (Clinical)
2715 PORTER ST STE 204
SOQUEL, CA 95073

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1740093079, enumerated as an "organization" on January 30, 2025.

The provider is located at 2715 PORTER ST STE 204 SOQUEL, CA 95073 and the phone number is (831) 219-8249.

Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).