Individual provider Active NPI

Keri Forbess-McCorquodale, MS, CEAP, LPC, LMFT

  • Mental Health Counselor
  • Lake Charles, LA
National Provider Identifier
1366421828
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1725 Issued in LA
Practice address
1201 Ryan St
Lake Charles, LA 70601-5222
Phone
(337) 436-3353
Fax
(337) 436-3383
NPI assigned
Jan 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 1725 LA Primary
Marriage & Family Therapist 106H00000X 98 LA

Addresses

Primary practice location

1201 Ryan St
Lake Charles, LA 70601-5222

Mailing address

PO Box 3126
Lake Charles, LA 70602-3126
Phone (337) 477-2730

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
1725LAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Solutions Counseling & Employee Assistance Program CurrentSince Mar 6, 2022 Accepting new patients

Locations

400 7th St
Lake Charles, LA 70601
Phone (337) 310-2822

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1137024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1366421828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3126",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706023126",
            "telephone_number": "337-477-2730",
            "fax_number": "337-436-3383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 RYAN ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706015222",
            "telephone_number": "337-436-3353",
            "fax_number": "337-436-3383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORBESS-MCCORQUODALE",
        "first_name": "KERI",
        "credential": "MS, CEAP, LPC, LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-12",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": "1725",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "LA",
            "license": "98",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.