Jennifer Paige Forshay-Rodefer

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

0001922 Issued in GA

Practice address

2080 Ingleside Ave
Macon, GA 31204-2028

Phone

(478) 227-0993

NPI assigned

Dec 29, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• New Leaf Therapeutics & Consulting

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Macon, GA
  • NPI 1154081750
  NPD Authorized official

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

{
    "created_epoch": "1640736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640736000000",
    "number": "1356001499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1266 WAVERLAND DR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312111322",
            "telephone_number": "850-294-0047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 INGLESIDE AVE",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312042028",
            "telephone_number": "478-227-0993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORSHAY-RODEFER",
        "first_name": "JENNIFER",
        "middle_name": "PAIGE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-29",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "GA",
            "license": "0001922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stanesha Ford
• Tavia Ford
• Jennifer Fordham, NP
• Brett Forehand, FNP-C
• Forever Family Foundation Corp
• Forsyth Street Ambulatory Surgery Center, LLC
• Forsyth Street Orthopaedic Surgery
• Forsyth Street Orthopaedic Surgery and Rehabilitation Center
• Tommi J Forsyth
• Briana Ellen Forte, NP

• Marriage & Family Therapist in Macon, GA
• Providers in Macon, GA by specialty
• Marriage & Family Therapist in Georgia

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