Forward Vision, Inc.

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

180003903 Issued in IL

Legal business name

FORWARD VISION, INC.

Practice address

10725 S Western Ave
2ND. Floor
Chicago, IL 60643-3135

Phone

(312) 952-2006

NPI assigned

Oct 6, 2014

Organization subpart

No

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

Authorized official

Name

Ms. Adrienne Lynne Dancy, LCPCNPI 1992882732

Title

Owner/Psychotherapist

Phone

(312) 952-2006

Specialties & licenses 1

Addresses

Tax ID family

Forward Vision Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Forward Vision, Inc.

  • Mental Health Counselor
  • Chicago, IL
  • NPI 1194903583
  NPD tax ID

Locations

Practitioners 1

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

• Adrienne Lynne Dancy, LCPC

  • Professional Counselor
  • Chicago, IL
  • NPI 1992882732
  NPD Authorized official

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

{
    "created_epoch": "1412553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412553600000",
    "number": "1366845224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10725 S WESTERN AVE",
            "address_2": "2ND. FLOOR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606433135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10725 S WESTERN AVE",
            "address_2": "2ND. FLOOR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606433135",
            "telephone_number": "312-952-2006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORWARD VISION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-06",
        "last_updated": "2014-10-06",
        "status": "A",
        "authorized_official_last_name": "DANCY",
        "authorized_official_first_name": "ADRIENNE",
        "authorized_official_middle_name": "LYNNE",
        "authorized_official_title_or_position": "OWNER/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "312-952-2006",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "IL",
            "license": "180003903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Forum Extended Care SVC Inc II
• Forward Direction Corp
• Forward Homecare LLC
• Forward Intentions Therapy LLC
• Forward Vision, Inc.
• Forward, P.C.
• Forys Birn and Assoc P C
• Victor Aleksander Forys, M.D.
• Laura C Fosco
• Laura Fosler, FNP-BC

• Preferred Provider Organization in Chicago, IL
• Providers in Chicago, IL by specialty
• Preferred Provider Organization in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2014; 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.