Active NPI
Steven Todd Forsyth, MS, PLPC, CRADC
- Professional Counselor
- Saint Louis, MO
National Provider Identifier
1245986942
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2019046401
- Practice address
- 330 N Gore Ave
Saint Louis, MO 63119-1600 - Phone
- (314) 301-4650
- Fax
- (314) 301-4652
- NPI assigned
- Feb 22, 2022
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2019046401 | MO | Primary |
Addresses
Primary practice location
330 N Gore Ave
Saint Louis, MO 63119-1600
Mailing address
5045 Enright Ave
Saint Louis, MO 63108-1007
Phone (314) 332-5728
Other names 1
- N/a N/a N/a
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | GreatCircle.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2019046401 | MO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645488000000",
"number": "1245986942",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5045 ENRIGHT AVE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631081007",
"telephone_number": "314-332-5728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 N GORE AVE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631191600",
"telephone_number": "314-301-4650",
"fax_number": "314-301-4652"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORSYTH",
"first_name": "STEVEN",
"middle_name": "TODD",
"name_prefix": "Mr.",
"credential": "MS, PLPC, CRADC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-02-22",
"last_updated": "2022-02-22",
"certification_date": "2022-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "2019046401",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "GreatCircle.org",
"affiliation": "N",
"endpointDescription": "business",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "330 N Gore Ave",
"city": "Saint Louis",
"state": "MO",
"country_code": "US",
"postal_code": "631191600",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "N/A",
"last_name": "N/A",
"middle_name": "N/A",
"credential": "N/A",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.