Sally Jane Forrest, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH61000510 Issued in WA

Practice address

5 S 14TH Ave
Yakima, WA 98902-3101

Phone

(509) 317-0063

NPI assigned

Dec 21, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1482278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1548705999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3009 BARGE ST",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989022733",
            "telephone_number": "509-901-3163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 S 14TH AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989023101",
            "telephone_number": "509-317-0063"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3009 Barge St",
            "address_purpose": "LOCATION",
            "city": "Yakima",
            "state": "WA",
            "postal_code": "989022733",
            "country_code": "US",
            "telephone_number": "509-901-3163",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORREST",
        "first_name": "SALLY",
        "middle_name": "JANE",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-21",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH61000510",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2091900",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tyler Alan Fordham, DDS
• Coleen Foreman, PAC
• Janice Raye Foresyth
• Mariah Forgey
• Miranda Forgey
• Charles Forster
• Joseph W Forte, DO
• Chris Jon Fortier, DO
• Kathy Fosnaugh, D.O.
• Bryan Howard Foster, SUDPT

• Mental Health Counselor in Yakima, WA
• Providers in Yakima, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.