Organization Active NPI

Joanna G Forrest, LPC, LLC

  • Professional Counselor
  • Ridgefield, CT
National Provider Identifier
1336448604
Registry record updated Dec 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1417 Issued in CT
Legal business name
JOANNA G FORREST, LPC, LLC
Practice address
105 Danbury Rd
Ridgefield, CT 06877-4147
Phone
(203) 501-0822
NPI assigned
Mar 25, 2011
Last updated
Dec 14, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2021

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

Authorized official

Name
Mrs. Joanna G ForrestNPI 1811060585
Title
Psychotherapist/MGR.
Phone
(203) 501-0822

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
Professional Counselor 101YP2500X 1417 CT Primary

Addresses

Primary practice location

105 Danbury Rd
Ridgefield, CT 06877-4147

Mailing address

160 Pine Hill Rd
New Fairfield, CT 06812-2207
Phone (203) 501-0822

National Provider Directory

National Provider Directory

Locations

105 Danbury Rd
Ridgefield, CT 06877
Phone (203) 431-9726

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": "1301011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639440000000",
    "number": "1336448604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 PINE HILL RD",
            "city": "NEW FAIRFIELD",
            "state": "CT",
            "postal_code": "068122207",
            "telephone_number": "203-501-0822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 DANBURY RD",
            "city": "RIDGEFIELD",
            "state": "CT",
            "postal_code": "068774147",
            "telephone_number": "203-501-0822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOANNA G FORREST, LPC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-25",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A",
        "authorized_official_last_name": "FORREST",
        "authorized_official_first_name": "JOANNA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST/MGR.",
        "authorized_official_telephone_number": "203-501-0822",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "1417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgefield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.

Verify at the official NPI Registry.