Active NPI
Christian E Forde, LPC, NCC
- Mental Health Counselor
- Milledgeville, GA
National Provider Identifier
1235992876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPC014182
- Practice address
- 139 Montego Bay Rd NW
Milledgeville, GA 31061-9484 - Phone
- (762) 333-5734
- NPI assigned
- Feb 6, 2024
- Last updated
- Feb 6, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPC014182 | GA | Primary |
Addresses
Primary practice location
139 Montego Bay Rd NW
Milledgeville, GA 31061-9484
Mailing address
139 Montego Bay Rd NW
Milledgeville, GA 31061-9484
Phone (762) 333-5734
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective May 14, 2025 through May 14, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC014182 | GA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707177600000",
"number": "1235992876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "139 MONTEGO BAY RD NW",
"city": "MILLEDGEVILLE",
"state": "GA",
"postal_code": "310619484",
"telephone_number": "762-333-5734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "139 MONTEGO BAY RD NW",
"city": "MILLEDGEVILLE",
"state": "GA",
"postal_code": "310619484",
"telephone_number": "762-333-5734"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORDE",
"first_name": "CHRISTIAN",
"middle_name": "E",
"credential": "LPC, NCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-02-06",
"last_updated": "2024-02-06",
"certification_date": "2024-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "GA",
"license": "LPC014182",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Milledgeville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; 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.