Individual provider Active NPI

Jennifer Ann Forrister, ED.S, MS, LPC

  • Professional Counselor
  • Atlanta, GA
National Provider Identifier
1013107960
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC004644 Issued in GA
Practice address
250 10TH St NE Apt 1301
Atlanta, GA 30309-3713
Phone
(678) 785-1777
Fax
(678) 785-1777
NPI assigned
Jul 26, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC004644 GA Primary

Addresses

Primary practice location

250 10TH St NE Apt 1301
Atlanta, GA 30309-3713

Mailing address

250 10TH St NE Apt 1301
Atlanta, GA 30309-3713
Phone (678) 785-1777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240404003905 GA Practitioner - Mental Health Counselor 1153769419 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

250 10TH St NE
Apt 1301
Atlanta, GA 30309-3713
Phone (678) 785-1777

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LPC004644GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Forrister Counseling Services CurrentSince Jan 16, 2024 Accepting new patients

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": "1185408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1013107960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 10TH ST NE APT 1301",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303093713",
            "telephone_number": "678-785-1777",
            "fax_number": "678-785-1777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 10TH ST NE APT 1301",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303093713",
            "telephone_number": "678-785-1777",
            "fax_number": "678-785-1777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORRISTER",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "credential": "ED.S, MS, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-26",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC004644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.