Active NPI
Forward Family Therapy, LLC
- Mental Health Counselor
- Mequon, WI
National Provider Identifier
1487293858
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- FORWARD FAMILY THERAPY, LLC
- Practice address
- 10535 N Port Washington Rd Ste 204
Mequon, WI 53092-5560 - Phone
- (262) 421-5101
- NPI assigned
- Jan 2, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jennifer Kempfert Kempfert, LMFT
- Title
- Co-Owner
- Phone
- (262) 421-5101
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
10535 N Port Washington Rd Ste 204
Mequon, WI 53092-5560
Mailing address
10535 N Port Washington Rd Ste 204
Mequon, WI 53092-5560
Phone (262) 421-5101
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Mequon, WI
- NPI 1366774689
-
- Marriage & Family Therapist
- Mequon, WI
- NPI 1902777410
-
- Mental Health Counselor
- Mequon, WI
- NPI 1790640571
-
- Marriage & Family Therapist
- Aurora, CO
- NPI 1740517135
-
- Marriage & Family Therapist
- West Bend, WI
- NPI 1760330450
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1577923200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1747699200000",
"number": "1487293858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10535 N PORT WASHINGTON RD STE 204",
"city": "MEQUON",
"state": "WI",
"postal_code": "530925560",
"telephone_number": "262-421-5101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10535 N PORT WASHINGTON RD STE 204",
"city": "MEQUON",
"state": "WI",
"postal_code": "530925560",
"telephone_number": "262-421-5101"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FORWARD FAMILY THERAPY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-01-02",
"last_updated": "2025-05-20",
"certification_date": "2025-05-20",
"status": "A",
"authorized_official_last_name": "KEMPFERT",
"authorized_official_first_name": "JENNIFER KEMPFERT",
"authorized_official_title_or_position": "CO-OWNER",
"authorized_official_telephone_number": "262-421-5101",
"authorized_official_credential": "LMFT"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mequon, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.