Organization Active NPI

Forward Thinking Behavioral Health, LLC

  • Mental Health Counselor
  • Tallahassee, FL
National Provider Identifier
1285531038
Registry record updated Oct 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
FORWARD THINKING BEHAVIORAL HEALTH, LLC
Practice address
4910 N Monroe St Apt L307
Tallahassee, FL 32303-7077
Phone
(516) 398-0953
NPI assigned
Oct 23, 2026
Last updated
Oct 23, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2026

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

Authorized official

Name
Kristopher Polak, MS, LMHCNPI 1619747979
Title
Ceo/Cco
Phone
(516) 398-0953

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
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

4910 N Monroe St Apt L307
Tallahassee, FL 32303-7077

Mailing address

4910 N Monroe St Apt L307
Tallahassee, FL 32303-7077
Phone (516) 398-0953

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1792713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792713600000",
    "number": "1285531038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4910 N MONROE ST APT L307",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323037077",
            "telephone_number": "516-398-0953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4910 N MONROE ST APT L307",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323037077",
            "telephone_number": "516-398-0953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORWARD THINKING BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-23",
        "last_updated": "2026-10-23",
        "certification_date": "2026-10-23",
        "status": "A",
        "authorized_official_last_name": "POLAK",
        "authorized_official_first_name": "KRISTOPHER",
        "authorized_official_title_or_position": "CEO/CCO",
        "authorized_official_telephone_number": "516-398-0953",
        "authorized_official_credential": "MS, LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.