Brenda Ruth Fore, LPC-S

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

3430 Issued in AL

Practice address

605 Bel Air Blvd Ste 33
Mobile, AL 36606-3529

Phone

(251) 476-9994

Fax

(251) 476-9928

NPI assigned

Oct 3, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AL

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

Specialty

Mental Health Counselor

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Brightside Health IncGroup PAC ID 9234525098, 213 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Brightside Health, Inc.

  • Psychiatry Physician
  • San Francisco, CA
  • NPI 1073072658

  AL, Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Transformation Counseling & Supervision LLC

  • Mental Health Counselor
  • Mobile, AL
  • NPI 1639875388
  NPD Authorized official

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

{
    "created_epoch": "1570060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779235200000",
    "number": "1548801293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 BEL AIR BLVD STE 33",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366063529",
            "telephone_number": "251-476-9994",
            "fax_number": "251-476-9928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 BEL AIR BLVD STE 33",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366063529",
            "telephone_number": "251-476-9994",
            "fax_number": "251-476-9928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORE",
        "first_name": "BRENDA",
        "middle_name": "RUTH",
        "name_prefix": "Dr.",
        "credential": "LPC-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-03",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "AL",
            "license": "3430",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "TPMC4311",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "thecarpentershse@aol.com",
            "affiliation": "Y",
            "endpointDescription": "email",
            "affiliationName": "The Carpenter's House, PC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "605 Bel Air Blvd Ste 33",
            "city": "Mobile",
            "state": "AL",
            "country_code": "US",
            "postal_code": "366063529",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Corey L Ford, DMD
• Joshua Dejuan Ford
• Madison Ford
• Ryan Ford
• Richard Charles Fordham, PHARMD
• Forefront Dermatology, S.C.
• Formwalt and Williams Inc
• Annie L Formwalt, PSY.D.
• David Formwalt, PSY D
• Nicole R. Formwalt, LPC

• Mental Health Counselor in Mobile, AL
• Providers in Mobile, AL by specialty
• Mental Health Counselor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.