Active NPI
Forrest E Diehl, L.P.C.C.
- Counselor
- Ashtabula, OH
National Provider Identifier
1164420865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- E1439
- Practice address
- 1907 Aetna Rd
Ashtabula, OH 44004-6259 - Phone
- (440) 992-7565
- Fax
- (440) 257-7997
- NPI assigned
- Jul 7, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | E1439 | OH | Primary |
Addresses
Primary practice location
1907 Aetna Rd
Ashtabula, OH 44004-6259
Mailing address
PO Box 607
Chardon, OH 44024-0607
Phone (440) 992-7565
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 |
|---|---|---|---|
| E1439 | OH | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1164420865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 607",
"city": "CHARDON",
"state": "OH",
"postal_code": "440240607",
"telephone_number": "440-992-7565",
"fax_number": "440-257-7997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1907 AETNA RD",
"city": "ASHTABULA",
"state": "OH",
"postal_code": "440046259",
"telephone_number": "440-992-7565",
"fax_number": "440-257-7997"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIEHL",
"first_name": "FORREST",
"middle_name": "E",
"name_prefix": "Mr.",
"credential": "L.P.C.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-07",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "OH",
"license": "E1439",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ashtabula, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.