Organization Active NPI

Forward Healing PLLC

  • Clinical Social Worker
  • Amarillo, TX
National Provider Identifier
1205570280
Registry record updated Jul 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
FORWARD HEALING PLLC
Practice address
6900 W I 40 Ste 304B
Amarillo, TX 79106-2539
Phone
(806) 910-8090
Fax
(806) 410-2890
NPI assigned
Apr 25, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2022

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

Authorized official

Name
Jonathon Michael Elmquist, LCSWNPI 1801537121
Title
Managing Member
Phone
(806) 910-8090

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

6900 W I 40 Ste 304B
Amarillo, TX 79106-2539

Mailing address

9301 Highland Springs Dr
Amarillo, TX 79119-7952
Phone (806) 626-1717

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220610001385 TX Part B Supplier - Clinic/Group Practice 6002294600 Receives reassigned benefits from 1 practitioner
Practice locations: Amarillo, TX

National Provider Directory

National Provider Directory

Locations

6900 W Interstate 40
Ste 304B
Amarillo, TX 79106
Phone (806) 910-8090

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1650844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657411200000",
    "number": "1205570280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9301 HIGHLAND SPRINGS DR",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791197952",
            "telephone_number": "806-626-1717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 W I 40 STE 304B",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791062539",
            "telephone_number": "806-910-8090",
            "fax_number": "806-410-2890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORWARD HEALING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-25",
        "last_updated": "2022-07-10",
        "certification_date": "2022-07-10",
        "status": "A",
        "authorized_official_last_name": "ELMQUIST",
        "authorized_official_first_name": "JONATHON",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "806-910-8090",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.