NPIMap

Organization Active NPI

Forward Momentum

  • Professional Counselor
  • Edmond, OK
National Provider Identifier
1346704996
Registry record updated Jan 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
FORWARD MOMENTUM
Practice address
1600 E 15TH St Ste 503
Edmond, OK 73013-6690
Phone
(405) 293-2440
NPI assigned
Jan 29, 2019
Last updated
Jan 29, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2019

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

Authorized official

Name
Jennifer Long, MA, LPCNPI 1609169473
Title
Owner
Phone
(405) 370-2413

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X NU Primary

Addresses

Primary practice location

1600 E 15TH St Ste 503
Edmond, OK 73013-6690

Mailing address

3412 Baird Dr
Edmond, OK 73013-6327
Phone (405) 831-3202

National Provider Directory

National Provider Directory

Locations

1600 E 15th St
Ste 503
Edmond, OK 73013
Phone (405) 293-2440

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": "1548720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548720000000",
    "number": "1346704996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3412 BAIRD DR",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730136327",
            "telephone_number": "405-831-3202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 E 15TH ST STE 503",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730136690",
            "telephone_number": "405-293-2440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORWARD MOMENTUM",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-29",
        "last_updated": "2019-01-29",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-370-2413",
        "authorized_official_credential": "MA, LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2019; 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.