Tanika D Forestal, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

35001791A Issued in IN

Practice address

1149 E Center Rd
Kokomo, IN 46902-5369

Phone

(765) 631-3366

NPI assigned

Apr 12, 2013

Sex

Female

Sole proprietor

No

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.

• Four County Comprehensive Mental Health Center Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Peru, IN
  • NPI 1972545945

  IN

  Medicare reassignment Care Compare group NPD
• Four County Comprehensive Mental Health Center, Inc

  • Psychiatric Hospital
  • Peru, IN
  • NPI 1457539751
  NPD

Specialty

Marriage and Family Therapist

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Four County Comprehensive Mental Health Center Inc 42 clinicians

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 12, 2013.

{
    "created_epoch": "1365724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365724800000",
    "number": "1447693197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 CARTER CT",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469017026",
            "telephone_number": "765-631-3366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1149 E CENTER RD",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469025369",
            "telephone_number": "765-631-3366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORESTAL",
        "first_name": "TANIKA",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-12",
        "last_updated": "2013-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IN",
            "license": "35001791A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexander Albert Fondak, M.D.
• Forefront Dermatology, S.C.
• Forefront Dermatology, S.C.
• Sonya Forehand
• Kelly Foreit, NP
• Forever Forward Autism Center
• Beverly Jean Forrey, MA
• Jeniffer Forson
• Shemiah Forte
• Colton L Fortner

• All providers in Kokomo, IN
• Marriage & Family Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2013; 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.