Veronica Abeh Forchu, NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

61188731 Issued in WA

Practice address

12923 Emerald Ridge Blvd E
Puyallup, WA 98374-8403

Phone

(801) 649-7584

NPI assigned

Aug 17, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA, UT2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Mikkadesh Mental Healthcare LLCGroup PAC ID 2961888383, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mikkadesh Mental Healthcare LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Puyallup, WA
  • NPI 1063120020
  Medicare reassignment Care Compare group NPD Authorized official
• Western Psychological and Counseling Services LLC

  • Clinical Psychologist
  • Tacoma, WA
  • NPI 1912008178
  NPD (past)

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

{
    "created_epoch": "1629158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674086400000",
    "number": "1427724988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12923 EMERALD RIDGE BLVD E",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983748403",
            "telephone_number": "801-649-7584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12923 EMERALD RIDGE BLVD E",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983748403",
            "telephone_number": "801-649-7584"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2420 S Union Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984051306",
            "country_code": "US",
            "telephone_number": "801-649-7584",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORCHU",
        "first_name": "VERONICA",
        "middle_name": "ABEH",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-17",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "61188731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachelle L Folk
• Lorie L Folven
• Henry Bun Lok Fong, PHARM.D
• Melissa Foor, MS RDN CD
• Erina Ishita Foote
• Noelle Foreman, COTA
• Robert Forest, MD
• Tiffany Lynn Forquer, PA-C
• Tiffany Forslund
• Cynthia Jolynn Forsyth

• Psychiatric/Mental Health Nurse Practitioner in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.