Active NPI
Katie Anne Forbes, M.S., LCMHC
- Mental Health Counselor
- Mocksville, NC
National Provider Identifier
1518351535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 10694
- Practice address
- 643 Wilkesboro St
Mocksville, NC 27028-2050 - Phone
- (336) 405-8622
- NPI assigned
- Mar 27, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 10694 | NC | Primary |
Addresses
Primary practice location
643 Wilkesboro St
Mocksville, NC 27028-2050
Mailing address
1119 Yadkinville Rd Unit 73
Mocksville, NC 27028-0106
Phone (336) 405-8622
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10694 | NC | MD | Orthopedic Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626825600000",
"number": "1518351535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1119 YADKINVILLE RD UNIT 73",
"city": "MOCKSVILLE",
"state": "NC",
"postal_code": "270280106",
"telephone_number": "336-405-8622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "643 WILKESBORO ST",
"city": "MOCKSVILLE",
"state": "NC",
"postal_code": "270282050",
"telephone_number": "336-405-8622"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORBES",
"first_name": "KATIE",
"middle_name": "ANNE",
"name_prefix": "Mrs.",
"credential": "M.S., LCMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-03-27",
"last_updated": "2021-07-21",
"certification_date": "2021-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "10694",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mocksville, NC
- Aimee Farr
- Mary Rachel Felix, FNP-C
- Figjam Caregivers, LLC
- Julie Wimmer File, PA-C
- Kenneth Lee Flinchum, DPT
- Forsyth Memorial Hospital Inc (Novant Health Davie Medical Associates)
- Foster Drug Co Inc
- Foster Drug of Mocksville
- Foundation Health Systems Corp. (Edwin H. Martinat Comprehensive Outpatient Rehabilitation Center)
- Elizabeth Joy Fox, FNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.