Jeanine Forsythe Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

1993 Issued in NM

Legal business name

JEANINE FORSYTHE INC.

Practice address

10601 Lomas Blvd NE Ste 108
Albuquerque, NM 87112-5462

Phone

(505) 293-0617

Fax

(505) 293-0617

NPI assigned

Jan 30, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Jeanine M Forsythe, M.A., LPCC,CCFC,CCJSNPI 1801239660

Title

Director

Phone

(505) 453-7307

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Life Healing Center Other name

Locations

Practitioners 1

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

• Jeanine M Forsythe, LPCC

  • Professional Counselor
  • Albuquerque, NM
  • NPI 1801239660
  NPD Authorized official

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366588642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10601 LOMAS BLVD NE STE 108",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871125462",
            "telephone_number": "505-293-0617",
            "fax_number": "505-293-0617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10601 LOMAS BLVD NE STE 108",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871125462",
            "telephone_number": "505-293-0617",
            "fax_number": "505-293-0617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEANINE FORSYTHE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FORSYTHE",
        "authorized_official_first_name": "JEANINE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "505-453-7307",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.A., LPCC,CCFC,CCJS"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NM",
            "license": "1993",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A1510",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Life Healing Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• JDNP LLC
• Estania Jean Charles
• Laiven Jean de Chantal
• Susan Anne Honore Jean-Pierre, M.A., L.M.H.C
• Cheryl A Jean, OT
• Jeannette Acquisto, PH.D., PC
• Vicente P Jeantete
• Clara Veronica Jee, APRN
• Leah Jeffcoat, P-LMHC, MA, LSAA3
• Viridiana Chelsea Jefferson

• Community/Behavioral Health Agency in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Community/Behavioral Health Agency in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.