Skylar Stuart Forrister II, MA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

C5789 Issued in OR

Practice address

731 NW Franklin Ave Ste 107
Bend, OR 97703-2752

Phone

(541) 306-1128

NPI assigned

Jan 14, 2016

Last updated

Nov 15, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Nov 14, 2024 through Nov 14, 2026

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• East Cascade Counseling Services LLC

  • Professional Counselor
  • Bend, OR
  • NPI 1306298757
  NPD (past)

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

{
    "created_epoch": "1452729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1225494602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731 NW FRANKLIN AVE STE 107",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977032752",
            "telephone_number": "541-306-1128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 NW FRANKLIN AVE STE 107",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977032752",
            "telephone_number": "541-306-1128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORRISTER",
        "first_name": "SKYLAR",
        "middle_name": "STUART",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-01-14",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C5789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheldon Sumner Ford
• Theodore Rowe Ford, MD
• Joseph Francis Hyde Forest, M.A., QMHP, LMHC
• Laura Bank Forest, L.C.S.W.
• Ami Formica, MA, LPCA
• Anne Marie Forster
• Jennifer Forster, LPC
• Karen Forte, LCSW, DCSW
• Dave Fosberg
• Michelle Leeann Foss

• Mental Health Counselor in Bend, OR
• Providers in Bend, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.