Active NPI
Terry Alan Forrest, LPC, LMFT
- Mental Health Counselor
- Oregon City, OR
National Provider Identifier
1063603074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- C0410
- Practice address
- 419 Center St
Oregon City, OR 97045-2211 - Phone
- (971) 506-1887
- Fax
- (503) 656-0649
- NPI assigned
- Aug 5, 2007
- Sex
- Male
- Sole proprietor
- No
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 | T0274 | OR | |
| Mental Health Counselor | 101YM0800X | C0410 | OR | Primary |
Addresses
Primary practice location
419 Center St
Oregon City, OR 97045-2211
Mailing address
PO Box 3007
Portland, OR 97208-3007
Phone (503) 535-1174
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 |
|---|---|---|---|
| C0410 | OR | MD | Mental Health Counselor |
| T0274 | OR | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Beginnings Counseling Services LLC | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Substance Abuse Rehabilitation Facility
- Portland, OR
- NPI 1104145655
-
- Substance Abuse Rehabilitation Facility
- Portland, OR
- NPI 1194037283
-
- Community/Behavioral Health Agency
- Oregon City, OR
- NPI 1366827438
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1515542400000",
"number": "1063603074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3007",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972083007",
"telephone_number": "503-535-1174",
"fax_number": "503-535-1191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "419 CENTER ST",
"city": "OREGON CITY",
"state": "OR",
"postal_code": "970452211",
"telephone_number": "971-506-1887",
"fax_number": "503-656-0649"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORREST",
"first_name": "TERRY",
"middle_name": "ALAN",
"name_prefix": "Mr.",
"credential": "LPC, LMFT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-05",
"last_updated": "2018-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "OR",
"license": "T0274",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OR",
"license": "C0410",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oregon City, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.