Renonda Michelle Forney

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

APC008600 Issued in GA

Practice address

2233 W Point Rd
Lagrange, GA 30240-4061

Phone

(706) 837-0045

Fax

(706) 837-0035

NPI assigned

Jul 25, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Still Waters Counseling and Assessments Inc.

  • Professional Counselor
  • Lagrange, GA
  • NPI 1770297913
  NPD (past)
• West Georgia Counseling & Assessment Services, LLC

  • Community/Behavioral Health Agency
  • Lagrange, GA
  • NPI 1033644471
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1658707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658707200000",
    "number": "1023744992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2233 W POINT RD",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302404061",
            "telephone_number": "706-837-0045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2233 W POINT RD",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302404061",
            "telephone_number": "706-837-0045",
            "fax_number": "706-837-0035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORNEY",
        "first_name": "RENONDA",
        "middle_name": "MICHELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-25",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "APC008600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "secured",
            "affiliation": "N",
            "endpointDescription": "secured email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "secured email",
            "address_1": "2233 W Point Rd",
            "city": "LaGrange",
            "state": "GA",
            "country_code": "US",
            "postal_code": "302404061",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rforney@westgeaorgiacounseling.com",
            "affiliation": "Y",
            "endpointDescription": "secured email",
            "affiliationName": "West Georgia Counseling & Assessment Services, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Secured email",
            "address_1": "2233 W Point Rd",
            "city": "LaGrange",
            "state": "GA",
            "country_code": "US",
            "postal_code": "302404061",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Alexandra Flippen, LPC, NCC
• Tracy W. Flory, CFNP
• Michele B Flowers
• Mary Foerster, APC
• Frances Morgan Fordham, PHARMD
• Olivia Foster, NP
• Elizabeth Fowler
• Anthony Jerome Freeman, LPC
• Richard Freeman, M.D.
• Laura Garrard Fuller, APRN

• Professional Counselor in Lagrange, GA
• Providers in Lagrange, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2022; 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.