Active NPI
Michelle Karen Forrest, MHCA
- Mental Health Counselor
- Seattle, WA
National Provider Identifier
1316243066
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LH60500475
- Practice address
- 2606 1/2 3Rd Ave
Seattle, WA 98121-1214 - Phone
- (818) 383-2436
- NPI assigned
- Jan 27, 2011
- Last updated
- May 6, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LH60500475 | WA | Primary |
| Nutrition Education Nutritionist | 133NN1002X | NU60243970 | WA |
Addresses
Primary practice location
2606 1/2 3Rd Ave
Seattle, WA 98121-1214
Mailing address
2606 1/2 3Rd Ave
Seattle, WA 98121-1214
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jul 17, 2024 through Jul 17, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LH60500475 | WA | MD | Mental Health Counselor |
| NU60243970 | WA | MD | Nutrition Education Nutritionist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430870400000",
"number": "1316243066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2606 1/2 3RD AVE",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981211214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2606 1/2 3RD AVE",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981211214",
"telephone_number": "818-383-2436"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORREST",
"first_name": "MICHELLE",
"middle_name": "KAREN",
"credential": "MHCA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-01-27",
"last_updated": "2015-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH60500475",
"primary": true
},
{
"code": "133NN1002X",
"taxonomy_group": "",
"desc": "Nutritionist, Nutrition, Education",
"state": "WA",
"license": "NU60243970",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2015; 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.