JULIE A FOUTS LCSW
NPI 1255363487
Social Worker in Janesville, WI

NPI Status: Active since July 07, 2006

Contact Information

17 S RIVER ST STE 254
JANESVILLE, WI
ZIP 53548
Phone: (608) 755-5260
Fax: (608) 755-5267

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  • Individual
  • Female
  • Years of Experience 42
  • Social Worker
  • Accepts Insurance
  • May Accept Medicare Approved Payment
  • PECOS Enrolled

About JULIE FOUTS

This page provides the complete NPI Profile along with additional information for Julie Fouts, a provider established in Janesville, Wisconsin with a medical specialization in Social Worker and more than 42 years of experience. The healthcare provider is registered in the NPI registry with number 1255363487 assigned on July 2006. The practitioner's primary taxonomy code is 104100000X with license number 2876 (WI). The provider is registered as an individual and her NPI record was last updated one year ago.

NPI
1255363487
Provider Name
JULIE A FOUTS LCSW
Other Name
JULIA A FOUTS
Other Name Type
Other Name (5)
Gender
Female
Entity Type
Individual
Location Address
17 S RIVER ST STE 254 JANESVILLE, WI 53548
Location Phone
(608) 755-5260
Location Fax
(608) 755-5267
Mailing Address
17 S RIVER ST STE 254 JANESVILLE, WI 53548
Mailing Phone
(608) 755-5260
Mailing Fax
(608) 755-5267
Medical School Name
OTHER
Graduation Year
1984
Is Sole Proprietor?
No
Enumeration Date
07-07-2006
Last Update Date
03-20-2024
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A social worker like Julie Fouts helps patients solve and cope with problems in their everyday lives, diagnoses and treats mental, behavioral, and emotional problems. Social workers help in wide range of situations, such as adopting a child, illness, divorce, or unemployment.

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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

Social Worker

Taxonomy Code
104100000X
Type
Behavioral Health & Social Service Providers
License No.
2876
License State
WI
Taxonomy Description
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Dean Bronze $0 Copay PCP Visits - HMO
  • Dean Bronze Share - HMO
  • Dean Catastrophic - HMO
  • Dean Expanded Bronze Standard - HMO
  • Dean Focus Bronze $0 Copay PCP Visits - EPO
  • Dean Focus Bronze Share - EPO
  • Dean Focus Catastrophic - EPO
  • Dean Focus Expanded Bronze Standard - EPO
  • Dean Focus Gold HSA - EPO
  • Dean Focus Gold Share - EPO
  • Dean Focus Gold Standard - EPO
  • Dean Focus Silver $0 Copay PCP Visits - EPO
  • Dean Focus Silver Share - EPO
  • Dean Focus Silver Standard - EPO
  • Dean Gold HSA - HMO
  • Dean Gold Share - HMO
  • Dean Gold Standard - HMO
  • Dean Silver $0 Copay PCP Visits - HMO
  • Dean Silver Share - HMO
  • Dean Silver Standard - HMO
  • Engage by Medica Bronze HSA - EPO
  • Engage by Medica Bronze Share - EPO
  • Engage by Medica Expanded Bronze Standard - EPO
  • Engage by Medica Gold $0 Copay PCP Visits - EPO
  • Engage by Medica Gold Share - EPO
  • Engage by Medica Gold Standard - EPO
  • Engage by Medica Silver $0 Copay PCP Visits - EPO
  • Engage by Medica Silver Share - EPO
  • Engage by Medica Silver Standard - EPO
  • Essentia Choice Care with Medica Bronze HSA - EPO
  • Essentia Choice Care with Medica Bronze Share - EPO
  • Essentia Choice Care with Medica Expanded Bronze Standard - EPO
  • Essentia Choice Care with Medica Gold $0 Copay PCP Visits - EPO
  • Essentia Choice Care with Medica Gold Share - EPO
  • Essentia Choice Care with Medica Gold Standard - EPO
  • Essentia Choice Care with Medica Silver $0 Copay PCP Visits - EPO
  • Essentia Choice Care with Medica Silver Share - EPO
  • Essentia Choice Care with Medica Silver Standard - EPO
  • Medica Individual Choice Bronze HSA - EPO
  • Medica Individual Choice Bronze Share - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
39248900MEDICAID (05)WI 

Medicare Participation & PECOS Enrollment Status

Julie Fouts is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.

Julie Fouts is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 8022457910

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20240411001482

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Maybe

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

Reviews for JULIE A FOUTS LCSW

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1255363487
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22105666416
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 0 + 5 + 6 + 6 + 6 + 4 + 1 + 6 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1255363487 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 19 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1396167177DR. GEORGIEN D. DUDZEK PSYD
Individual
Psychologist17 S RIVER ST STE 254
JANESVILLE, WI 53548
(608) 755-5260
1700370905 HEIDI L WELTER LPC-IT
Individual
Counselor (Professional)17 S RIVER ST STE 254
JANESVILLE, WI 53548
(608) 755-5260
1942782529 KATIE L SPRINGER LPC-IT
Individual
Counselor (Professional)17 S RIVER ST STE 254
JANESVILLE, WI 53548
(608) 755-5260
1295767424DR. MICHAEL STUART KAYE PHD
Individual
Psychologist17 S RIVER ST STE 254
JANESVILLE, WI 53548
(608) 755-5260
1265916449 MICHELLE CASEY-SCHMIDT LPC-T
Individual
Counselor (Professional)17 S RIVER ST STE 254
JANESVILLE, WI 53548
(608) 755-5260
1740795608 MARY KATE MASKE LPC
Individual
Counselor (Professional)17 S RIVER ST STE 254
JANESVILLE, WI 53548
(608) 755-5260
1548874456 AMBER J WROBLEWSKI LPC-IT
Individual
Counselor (Professional)17 S RIVER ST STE 254
JANESVILLE, WI 53548
(608) 755-5260
1356090120 RACHEL E JORGENSON LPC
Individual
Counselor (Professional)17 S RIVER ST STE 254
JANESVILLE, WI 53548
(608) 755-5260
1386027779MRS. ASHLEE R STENER LCSW
Individual
Social Worker17 S RIVER ST STE 254
JANESVILLE, WI 53548
(608) 755-5260
1326615337 JENNIFER E LENEAU LPC, SAC-IT
Individual
Counselor (Professional)17 S RIVER ST STE 254
JANESVILLE, WI 53548
(608) 755-5260
1720689680 JENNIFER MICHELLE NOWAK LCSW
Individual
Social Worker17 S RIVER ST STE 254
JANESVILLE, WI 53548
(608) 755-5260
1568146132 SARAH DEEGAN LPC-T
Individual
Counselor (Professional)17 S RIVER ST STE 254
JANESVILLE, WI 53548
(608) 755-5260
1528741592 BAILY SPERRY
Individual
Social Worker17 S RIVER ST STE 254
JANESVILLE, WI 53548
(608) 755-5260
1609334184 JENNIFER ANGELYN BURTON APSW, SAC-IT
Individual
Social Worker17 S RIVER ST STE 254
JANESVILLE, WI 53548
(608) 755-5260
1396598058 KATRINA BEARDMORE LPC-T
Individual
Counselor (Professional)17 S RIVER ST STE 254
JANESVILLE, WI 53548
(608) 755-5260
1487300471 TAYLOR M AAGAARD APSW
Individual
Social Worker17 S RIVER ST STE 254
JANESVILLE, WI 53548
(608) 755-5260
1649939497 NANCY J STINEMYER-DIETZ LPC
Individual
Counselor (Professional)17 S RIVER ST STE 254
JANESVILLE, WI 53548
(608) 755-5260
1255082582 MICHELLE R BROWN LCSW
Individual
Social Worker17 S RIVER ST STE 254
JANESVILLE, WI 53548
(608) 755-5260
1558185819 PATRICE WHITE
Individual
Social Worker17 S RIVER ST STE 254
JANESVILLE, WI 53548
(608) 755-5260

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255363487, enumerated in the NPI registry as an "individual" on July 07, 2006

The provider is located at 17 S River St Ste 254 Janesville, Wi 53548 and the phone number is (608) 755-5260

The provider's speciality is Social Worker with taxonomy code 104100000X

The provider has more than 42 years of experience.

The provider might be accepting Accepts: Dean Health Plan, Medica, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

This NPI record was last updated on July 07, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.