Active NPI
Dalene Forester, PHD
- Mental Health Counselor
- Redding, CA
National Provider Identifier
1528118544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MFC 33095
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| MFC 33095 | CA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Group Psychotherapy Psychologist
- Redding, CA
- NPI 1558132084
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.