Forward Light Counseling Services PLLC

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

FORWARD LIGHT COUNSELING SERVICES PLLC

Practice address

7274 Dixie Hwy
Bridgeport, MI 48722-9702

Phone

(989) 249-3431

NPI assigned

Jan 8, 2020

Organization subpart

No

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

Authorized official

Name

Rachel S Sherman, LPCNPI 1811380868

Title

Therapist

Phone

(989) 529-1339

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

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

• Rachel S Sherman, LPC

  • Mental Health Counselor
  • Bridgeport, MI
  • NPI 1811380868

  MI

  Medicare reassignment Authorized official

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

{
    "created_epoch": "1578441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597190400000",
    "number": "1366082224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11780 DOWNING RD",
            "city": "BIRCH RUN",
            "state": "MI",
            "postal_code": "484159793",
            "telephone_number": "989-529-1339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7274 DIXIE HWY",
            "city": "BRIDGEPORT",
            "state": "MI",
            "postal_code": "487229702",
            "telephone_number": "989-249-3431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORWARD LIGHT COUNSELING SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-08",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A",
        "authorized_official_last_name": "SHERMAN",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "989-529-1339",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katelyn Marie Epperson
• Lee Faust
• Stanford L Follette Jr., BS, CACI
• Karen Marie Ford, MSW, LMSW
• Christopher Michael Foret, BA
• Ashley Frank
• Tracey Fray, LMSW, CSW
• Teyana Frills
• Megan Mane Frost, BSW
• Haille Genella

• All providers in Bridgeport, MI
• Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.