Active NPI
Jesse Forbes
- Music Therapist
- Purcellville, VA
National Provider Identifier
1417316167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Music Therapist
- License
- 12385
- Practice address
- 233 E King James St
Purcellville, VA 20132-6129 - Phone
- (540) 686-6239
- NPI assigned
- Feb 22, 2016
- Last updated
- Nov 4, 2016
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Music Therapist | 225A00000X | 12385 | VA | Primary |
Addresses
Primary practice location
233 E King James St
Purcellville, VA 20132-6129
Mailing address
233 E King James St
Purcellville, VA 20132-6129
Phone (540) 323-3409
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
| License | State | Type | Specialty |
|---|---|---|---|
| 12385 | VA | MD | Music Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478217600000",
"number": "1417316167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "233 E KING JAMES ST",
"city": "PURCELLVILLE",
"state": "VA",
"postal_code": "201326129",
"telephone_number": "540-323-3409"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "233 E KING JAMES ST",
"city": "PURCELLVILLE",
"state": "VA",
"postal_code": "201326129",
"telephone_number": "540-686-6239"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORBES",
"first_name": "JESSE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-02-22",
"last_updated": "2016-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "225A00000X",
"taxonomy_group": "",
"desc": "Music Therapist",
"state": "VA",
"license": "12385",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Purcellville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.