NPIMap

Organization Active NPI

Forward Emotion, LLC

  • Professional Counselor
  • Lisle, IL
National Provider Identifier
1336634856
Registry record updated Dec 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180.008646 Issued in IL
Legal business name
FORWARD EMOTION, LLC
Practice address
1440 Maple Ave Ste 2B
Lisle, IL 60532-4136
Phone
(630) 999-8236
NPI assigned
Jun 27, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2020

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

Authorized official

Name
Laura Ann Clay, LCPC, ATRNPI 1376985028
Title
Therapist and Managing Member/Owner
Phone
(630) 999-8236

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 180.008646 IL
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 180.008646 IL Primary

Addresses

Primary practice location

1440 Maple Ave Ste 2B
Lisle, IL 60532-4136

Mailing address

1440 Maple Ave Ste 2B
Lisle, IL 60532-4136
Phone (630) 999-8236

Other identifiers 1

IdentifierTypeStateIssuer
12707302OtherCAQH

National Provider Directory

National Provider Directory

Locations

1440 Maple Ave
Ste 2B
Lisle, IL 60532
Phone (630) 999-8236

3060 Ogden Ave
Ste 102
Lisle, IL 60532
Phone (630) 277-9551

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1530057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607040000000",
    "number": "1336634856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 MAPLE AVE STE 2B",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605324136",
            "telephone_number": "630-999-8236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 MAPLE AVE STE 2B",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605324136",
            "telephone_number": "630-999-8236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORWARD EMOTION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-27",
        "last_updated": "2020-12-04",
        "certification_date": "2020-12-04",
        "status": "A",
        "authorized_official_last_name": "CLAY",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "THERAPIST AND MANAGING MEMBER/OWNER",
        "authorized_official_telephone_number": "630-999-8236",
        "authorized_official_credential": "LCPC, ATR"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180.008646",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.008646",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12707302",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lisle, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2020; 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.