Individual provider Active NPI

Dalene Forester, PHD

  • Mental Health Counselor
  • Redding, CA
National Provider Identifier
1528118544
Registry record updated Feb 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MFC 33095 Issued in CA
Practice address
353 Park Marina Cir
Redding, CA 96001-0965
Phone
(530) 245-9221
Fax
(530) 245-9222
NPI assigned
Jan 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 33095 CA
Mental Health Counselor 101YM0800X MFC 33095 CA Primary

Addresses

Primary practice location

353 Park Marina Cir
Redding, CA 96001-0965

Mailing address

353 Park Marina Cir
Redding, CA 96001-0965
Phone (530) 245-9221

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jun 5, 2024 through Jun 5, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
MFC 33095CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Forester Family Therapy, Inc. Current Accepting new patients

Locations

353 Park Marina Cir
Redding, CA 96001
Phone (530) 245-9221

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1528118544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "353 PARK MARINA CIR",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960010965",
            "telephone_number": "530-245-9221",
            "fax_number": "530-245-9222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 PARK MARINA CIR",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960010965",
            "telephone_number": "530-245-9221",
            "fax_number": "530-245-9222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORESTER",
        "first_name": "DALENE",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "33095",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "MFC 33095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

Verify at the official NPI Registry.