Forward Therapeutics LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

FORWARD THERAPEUTICS LLC

Practice address

118 W 1St St Ste 308
Dayton, OH 45402-1150

Phone

(937) 443-7659

Fax

(855) 978-1771

NPI assigned

Jun 27, 2021

Organization subpart

No

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

Authorized official

Name

Chuckeia Folley, LPCC-SNPI 1003341744

Title

Owner

Phone

(937) 367-4614

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chuckeia Folley, LPCC-S

  • Professional Counselor
  • Dayton, OH
  • NPI 1003341744
  NPD Authorized official
• John Ray Wheeler, LPCC

  • Mental Health Counselor
  • Dayton, OH
  • NPI 1619445699
  NPD
• Heather Renae Horton, LPC

  • Mental Health Counselor
  • Dayton, OH
  • NPI 1184191710
  NPD (past)

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

{
    "created_epoch": "1624752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707350400000",
    "number": "1053981605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 W 1ST ST STE 308",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454021150",
            "telephone_number": "937-443-7659",
            "fax_number": "855-978-1771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 W 1ST ST STE 308",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454021150",
            "telephone_number": "937-443-7659",
            "fax_number": "855-978-1771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORWARD THERAPEUTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-27",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A",
        "authorized_official_last_name": "FOLLEY",
        "authorized_official_first_name": "CHUCKEIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-367-4614",
        "authorized_official_credential": "LPCC-S"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aimee Forsythe
• Rachel D Fortino, MSW, LISW
• Hilary Lynn Fortkamp, PNP
• Mary Elaine Fortkamp, CST
• Amanda Nichole Fortman, RN, BSN
• Angela Foster
• Briana Foster
• Carole A Foster, CNP, CNS-PSYCH
• Cecily Nicole Foster
• Denise Foster

• Mental Health Counselor in Dayton, OH
• Providers in Dayton, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.