Active NPI
Lennox Hugh Forrest, PH.D.
- Counseling Psychologist
- Grand Rapids, MI
National Provider Identifier
1114970621
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 860797
- Practice address
- 310 Lafayette Ave SE
Suite 325
Grand Rapids, MI 49503-4693 - Phone
- (616) 249-8486
- Fax
- (616) 456-7559
- NPI assigned
- May 18, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 860797 | MI | Primary |
Addresses
Primary practice location
310 Lafayette Ave SE
Suite 325
Grand Rapids, MI 49503-4693
Mailing address
PO Box 1767
Grand Rapids, MI 49501-1767
Phone (616) 235-2090
Other names 1
- Mr. Lennox Hugh Forrest
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070208000451 | MI | Practitioner - Clinical Psychologist | 6103828868 | Practice locations: Grand Rapids, MI |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 860797 | MI | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319500800000",
"number": "1114970621",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1767",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495011767",
"telephone_number": "616-235-2090",
"fax_number": "616-235-2099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 LAFAYETTE AVE SE",
"address_2": "SUITE 325",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495034693",
"telephone_number": "616-249-8486",
"fax_number": "616-456-7559"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORREST",
"first_name": "LENNOX",
"middle_name": "HUGH",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-18",
"last_updated": "2011-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "MI",
"license": "860797",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LENNOX",
"last_name": "FORREST",
"middle_name": "HUGH",
"prefix": "MR.",
"credential": "PH.D.",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.