Theo Forrester, MA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1841 Universal Rd
Pittsburgh, PA 15235-3955

Phone

(412) 403-8108

NPI assigned

Aug 10, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kelly Evanosky Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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.

• Saving Sanity, LLC

  • Professional Counselor
  • Pittsburgh, PA
  • NPI 1104587674
  NPD
• Sage Spectrum Therapy, LLC

  • Mental Health Counselor
  • Pittsburgh, PA
  • NPI 1679322358
  NPD (past)

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

{
    "created_epoch": "1628553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684454400000",
    "number": "1558036723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 KEEFER DR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152353935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1841 UNIVERSAL RD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152353955",
            "telephone_number": "412-403-8108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORRESTER",
        "first_name": "THEO",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-10",
        "last_updated": "2023-05-19",
        "certification_date": "2023-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "EVANOSKY",
            "credential": "MA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nestor Foronda, D.M.D.
• Anne Aisha Forrest, MSED
• Paige Forrest, MD
• Sarah Forrest, LCSW
• Lauren Alyssa Forrester
• Elizabeth Ann Forster
• Janice L Forster, MD
• Sarah E. Forster, PHD
• Raelynn Forsyth, M.D.
• Mackenzie Forsythe, MSW, LSW

• Mental Health Counselor in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Mental Health Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.