Individual provider Active NPI

Danielle Leeann Forker, LPCA

  • Mental Health Counselor
  • Danville, KY
National Provider Identifier
1356975072
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
262105 Issued in KY
Practice address
400 Cunningham Way
Danville, KY 40422-8342
Phone
(859) 936-3492
Fax
(859) 936-3529
NPI assigned
Mar 3, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 262105 KY Primary

Addresses

Primary practice location

400 Cunningham Way
Danville, KY 40422-8342

Mailing address

423 Coldstream Dr
Danville, KY 40422-1013

Other names 1

  • Danielle Von Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
262105KYMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1583193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1356975072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 COLDSTREAM DR",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404221013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 CUNNINGHAM WAY",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404228342",
            "telephone_number": "859-936-3492",
            "fax_number": "859-936-3529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORKER",
        "first_name": "DANIELLE",
        "middle_name": "LEEANN",
        "name_prefix": "Ms.",
        "credential": "LPCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-03",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "262105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIELLE",
            "last_name": "VON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Danville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; 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.