Active NPI
Kelli Forrester, ACSW
- Mental Health Counselor
- Napa, CA
National Provider Identifier
1366847626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 2751 Napa Valley Corporate Dr BLDG a
Napa, CA 94558-6216 - Phone
- (707) 299-1757
- NPI assigned
- Oct 29, 2014
- Last updated
- Apr 19, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
2751 Napa Valley Corporate Dr BLDG a
Napa, CA 94558-6216
Mailing address
2751 Napa Valley Corp Drive BLD a
Suite a
Napa, CA 94558-9613
Phone (707) 299-1757
Other practice location 1
490 Chadbourne Rd
Suite A
Fairfield, CA 94534-9613
Phone (707) 422-0464
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children's Nurturing Project | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Fairfield, CA
- NPI 1720424351
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618790400000",
"number": "1366847626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2751 NAPA VALLEY CORP DRIVE BLD A",
"address_2": "SUITE A",
"city": "NAPA",
"state": "CA",
"postal_code": "945589613",
"telephone_number": "707-299-1757",
"fax_number": "707-299-2120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2751 NAPA VALLEY CORPORATE DR BLDG A",
"city": "NAPA",
"state": "CA",
"postal_code": "945586216",
"telephone_number": "707-299-1757"
}
],
"practiceLocations": [
{
"address_1": "490 Chadbourne Rd",
"address_2": "Suite A",
"address_purpose": "LOCATION",
"city": "Fairfield",
"state": "CA",
"postal_code": "945349613",
"country_code": "US",
"telephone_number": "707-422-0464",
"fax_number": "707-422-0465",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FORRESTER",
"first_name": "KELLI",
"name_prefix": "Mrs.",
"credential": "ACSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-29",
"last_updated": "2021-04-19",
"certification_date": "2020-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Napa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.