Individual provider Active NPI

Errol Ricardo Forbes, RMHCI

  • Mental Health Counselor
  • Coconut Creek, FL
National Provider Identifier
1407317605
Registry record updated Mar 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
IMH14463 Issued in FL
Practice address
4193 NW 54TH St
Coconut Creek, FL 33073-4001
Phone
(954) 830-9047
NPI assigned
Mar 29, 2019
Last updated
Mar 29, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X IMH14463 FL Primary

Addresses

Primary practice location

4193 NW 54TH St
Coconut Creek, FL 33073-4001

Mailing address

4193 NW 54TH St
Coconut Creek, FL 33073-4001
Phone (954) 830-9047

Other identifiers 1

IdentifierTypeStateIssuer
IMH14463OtherFLMENTAL HEALTH COUNSELING INT

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address FORBES_E@BELLSOUTH.NET Direct

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

State licenses

LicenseStateTypeSpecialty
IMH14463FLMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1553817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553817600000",
    "number": "1407317605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4193 NW 54TH ST",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330734001",
            "telephone_number": "954-830-9047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4193 NW 54TH ST",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330734001",
            "telephone_number": "954-830-9047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORBES",
        "first_name": "ERROL",
        "middle_name": "RICARDO",
        "name_prefix": "Mr.",
        "credential": "RMHCI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-29",
        "last_updated": "2019-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH14463",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MENTAL HEALTH COUNSELING INT",
            "identifier": "IMH14463",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "FORBES_E@BELLSOUTH.NET",
            "affiliation": "N",
            "endpointDescription": "E-MAIL",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4193 NW 54th St",
            "city": "Coconut Creek",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330734001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Coconut Creek, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2019; 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.