Individual provider Active NPI

Jeanette McDowell Forrest, LLP

  • Counseling Psychologist
  • Grand Rapids, MI
National Provider Identifier
1437332871
Registry record updated Feb 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
6301009848 Issued in MI
Practice address
233 Fulton St E Ste 104
Grand Rapids, MI 49503-3261
Phone
(616) 776-3923
Fax
(616) 776-3024
NPI assigned
Dec 7, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 6301009848 MI Primary

Addresses

Primary practice location

233 Fulton St E Ste 104
Grand Rapids, MI 49503-3261

Mailing address

233 E Fulton St
Suite 114-C
Grand Rapids, MI 49503-3200
Phone (616) 776-3923

Other names 1

  • Gertrude Jeanette McDowell Former name

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
6301009848MIMDCounseling Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1196985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549843200000",
    "number": "1437332871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 E FULTON ST",
            "address_2": "SUITE 114-C",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495033200",
            "telephone_number": "616-776-3923",
            "fax_number": "616-776-3024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 FULTON ST E STE 104",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495033261",
            "telephone_number": "616-776-3923",
            "fax_number": "616-776-3024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDOWELL FORREST",
        "first_name": "JEANETTE",
        "name_prefix": "Dr.",
        "credential": "LLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-07",
        "last_updated": "2019-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MI",
            "license": "6301009848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GERTRUDE",
            "last_name": "MCDOWELL",
            "middle_name": "JEANETTE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.