Active NPI
Sandi L Forsythe, LMFT
- Marriage & Family Therapist
- Monument, CO
National Provider Identifier
1003463548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFT.0001682
- Practice address
- 15954 Jackson Creek Parkway
Suite B #515
Monument, CO 80132 - Phone
- (888) 959-6114
- Fax
- (303) 381-2490
- NPI assigned
- Aug 20, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | LMFT11589 | SD | |
| Marriage & Family Therapist | 106H00000X | MFT.0001682 | CO | Primary |
Addresses
Primary practice location
15954 Jackson Creek Parkway
Suite B #515
Monument, CO 80132
Mailing address
15954 Jackson Creek Parkway
Suite B #515
Monument, CO 80132
Phone (888) 959-6114
Other practice location 1
203 S Shebal Ave
Harrisburg, SD 57032-2354
Phone (888) 959-6114
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFT.0001682 | CO | MD | Marriage & Family Therapist |
| LMFT11589 | SD | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healing Journey Counseling & Coaching LLC | Current | Accepting new patients |
Locations
15954 Jackson Creek Pkwy
Ste B
Monument, CO 80132
Phone (404) 500-6372
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Counselor
- Monument, CO
- NPI 1336904135
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728604800000",
"number": "1003463548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15954 JACKSON CREEK PARKWAY",
"address_2": "SUITE B #515",
"city": "MONUMENT",
"state": "CO",
"postal_code": "80132",
"telephone_number": "888-959-6114",
"fax_number": "303-381-2490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15954 JACKSON CREEK PARKWAY",
"address_2": "SUITE B #515",
"city": "MONUMENT",
"state": "CO",
"postal_code": "80132",
"telephone_number": "888-959-6114",
"fax_number": "303-381-2490"
}
],
"practiceLocations": [
{
"address_1": "203 S Shebal Ave",
"address_purpose": "LOCATION",
"city": "Harrisburg",
"state": "SD",
"postal_code": "570322354",
"country_code": "US",
"telephone_number": "888-959-6114",
"fax_number": "303-381-2490",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FORSYTHE",
"first_name": "SANDI",
"middle_name": "L",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-08-20",
"last_updated": "2024-10-11",
"certification_date": "2024-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "SD",
"license": "LMFT11589",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CO",
"license": "MFT.0001682",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Monument, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.