Individual provider Active NPI

Sandi L Forsythe, LMFT

  • Marriage & Family Therapist
  • Monument, CO
National Provider Identifier
1003463548
Registry record updated Oct 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT.0001682 Issued in CO
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

Updated by the provider on Oct 11, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
MFT.0001682COMDMarriage & Family Therapist
LMFT11589SDMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.