Organization Active NPI

Forever Becoming LLC

  • Mental Health Counselor
  • Indianapolis, IN
National Provider Identifier
1558110189
Registry record updated May 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
FOREVER BECOMING LLC
Practice address
1315 Lemans CT Apt 702
Indianapolis, IN 46205-1211
Phone
(312) 248-4062
NPI assigned
May 15, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2024

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

Authorized official

Name
Tanicka Word, LMHCANPI 1073151239
Title
Manager
Phone
(312) 248-4062

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

1315 Lemans CT Apt 702
Indianapolis, IN 46205-1211

Mailing address

12125 E 65TH St
Indianapolis, IN 46236-4653
Phone (312) 248-4062

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1715731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715731200000",
    "number": "1558110189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12125 E 65TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462364653",
            "telephone_number": "312-248-4062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 LEMANS CT APT 702",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462051211",
            "telephone_number": "312-248-4062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREVER BECOMING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-15",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A",
        "authorized_official_last_name": "WORD",
        "authorized_official_first_name": "TANICKA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "312-248-4062",
        "authorized_official_credential": "LMHCA"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; 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.