Ms Shonda Foublasse, LMFT is a medicare enrolled "Marriage & Family Therapist" provider in Fort Campbell, Kentucky. She graduated from healthcare school in 2014 and has 12 years of diverse experience with area of expertise as Marriage And Family Therapist. Her current practice location is
650 Joel Dr, Fort Campbell, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(270) 798-8400.
Ms Shonda Foublasse is licensed to practice in Tennessee (license number 2138) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1457169070.
Healthcare Provider's Profile
| Full Name | Ms Shonda Foublasse |
|---|
| Gender | Female |
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| Speciality | Marriage And Family Therapist |
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| Experience | 12 Years |
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| Location | 650 Joel Dr, Fort Campbell, Kentucky |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Ms Shonda Foublasse graduated from medical school in 2014
NPI Data:
- NPI Number: 1457169070
- Provider Enumeration Date: 12/28/2024
- Last Update Date: 06/23/2026
Medicare PECOS Information:
- PECOS PAC ID: 1850896358
- Enrollment ID: I20250925002082
Medical Identifiers
Medical identifiers for Ms Shonda Foublasse such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1457169070 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 106H00000X | Marriage & Family Therapist | 303418 (Kentucky) | Secondary |
| 106H00000X | Marriage & Family Therapist | 2138 (Tennessee) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Shonda Foublasse is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms Shonda Foublasse, LMFT
650 Joel Dr,
Fort Campbell, KY 42223-8355
Ph: (270) 798-8400 | Ms Shonda Foublasse, LMFT
650 Joel Dr,
Fort Campbell, KY 42223-8355
Ph: (270) 798-8400 |
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