Peggy-Sue Forster, LLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

001441 Issued in CT

Legal business name

PEGGY-SUE FORSTER, LLC

Practice address

2551 Post Rd
Southport, CT 06890-1217

Phone

(203) 984-1126

Fax

(860) 567-2195

NPI assigned

Jun 1, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Peggy-Sue K. Forster, L.M.F.T.NPI 1669763850

Title

President

Phone

(203) 984-1126

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Peggy-Sue K Forster, LMFT

  • Marriage & Family Therapist
  • Southport, CT
  • NPI 1669763850
  NPD (past) Authorized official

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

{
    "created_epoch": "1338508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338508800000",
    "number": "1437410800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2537 POST RD",
            "city": "SOUTHPORT",
            "state": "CT",
            "postal_code": "068901242",
            "telephone_number": "203-984-1126",
            "fax_number": "860-567-2195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2551 POST RD",
            "city": "SOUTHPORT",
            "state": "CT",
            "postal_code": "068901217",
            "telephone_number": "203-984-1126",
            "fax_number": "860-567-2195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEGGY-SUE FORSTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-01",
        "last_updated": "2012-06-01",
        "status": "A",
        "authorized_official_last_name": "FORSTER",
        "authorized_official_first_name": "PEGGY-SUE",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-984-1126",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "L.M.F.T."
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "001441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in Southport, CT
• Providers in Southport, CT by specialty
• Marriage & Family Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2012; 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.