Active NPI
Amy G Forton, CPC, LADC
- Mental Health Counselor
- Henderson, NV
National Provider Identifier
1205108321
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- CP0052
- Practice address
- 2821 W Horizon Ridge Pkwy
Suite 121
Henderson, NV 89052-4427 - Phone
- (702) 498-7853
- NPI assigned
- Feb 5, 2012
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 10208 | NV | |
| Mental Health Counselor | 101YM0800X | CP0052 | NV | Primary |
Addresses
Primary practice location
2821 W Horizon Ridge Pkwy
Suite 121
Henderson, NV 89052-4427
Mailing address
2821 W Horizon Ridge Pkwy
Suite 121
Henderson, NV 89052-4427
Phone (702) 498-7853
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 |
|---|---|---|---|
| CP0052 | NV | MD | Mental Health Counselor |
| 10208 | NV | MD | Diagnostic Radiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328400000000",
"number": "1205108321",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2821 W HORIZON RIDGE PKWY",
"address_2": "SUITE 121",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890524427",
"telephone_number": "702-498-7853"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2821 W HORIZON RIDGE PKWY",
"address_2": "SUITE 121",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890524427",
"telephone_number": "702-498-7853"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORTON",
"first_name": "AMY",
"middle_name": "G",
"name_prefix": "Ms.",
"credential": "CPC, LADC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-02-05",
"last_updated": "2012-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NV",
"license": "10208",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NV",
"license": "CP0052",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.