Active NPI
Emilia Regina Forest, LCSW
- Mental Health Counselor
- Boston, MA
National Provider Identifier
1285207191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 225976
- Practice address
- 85 E Newton St
Boston, MA 02118-3553 - Phone
- (818) 983-2685
- NPI assigned
- Jul 19, 2021
- 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 | 225976 | MA | Primary |
Addresses
Primary practice location
85 E Newton St
Boston, MA 02118-3553
Mailing address
1A Hadley St
Charlestown, MA 02129-2001
Phone (818) 983-2685
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 |
|---|---|---|---|
| 225976 | MA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626652800000",
"number": "1285207191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1A HADLEY ST",
"city": "CHARLESTOWN",
"state": "MA",
"postal_code": "021292001",
"telephone_number": "818-983-2685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "85 E NEWTON ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021183553",
"telephone_number": "818-983-2685"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOREST",
"first_name": "EMILIA",
"middle_name": "REGINA",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-19",
"last_updated": "2021-07-19",
"certification_date": "2021-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "225976",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.