Individual provider Active NPI

Michaela Forsythe, LCMHC, LCAS, CSI

  • Addiction (Substance Use Disorder) Counselor
  • Goldsboro, NC
National Provider Identifier
1568024701
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
25188 Issued in NC
Practice address
696 N Spence Ave Ste a
Goldsboro, NC 27534-4354
Phone
(919) 330-4147
Fax
(919) 330-4142
NPI assigned
Jul 8, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X A14654 NC
Addiction (Substance Use Disorder) Counselor 101YA0400X 25188 NC Primary

Addresses

Primary practice location

696 N Spence Ave Ste a
Goldsboro, NC 27534-4354

Mailing address

1104 Braswell Rd
Goldsboro, NC 27530-8568
Phone (919) 221-7883

Other practice location 1

2602 Courtier Dr
Greenville, NC 27834-7818
Phone (252) 752-0483

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
A14654NCMDCounselor
25188NCMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Simplicity Counseling Services PLLC Addiction (Substance Use Disorder) CurrentSince Jan 15, 2023 Accepting new patients
Elysium Counseling, PLLC CurrentSince Mar 31, 2024 Accepting new patients

Locations

660 N Spence Ave
Goldsboro, NC 27534
Phone (919) 330-4460

696 N Spence Ave
Ste A
Goldsboro, NC 27534
Phone (919) 330-4147

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1562544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777507200000",
    "number": "1568024701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 BRASWELL RD",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275308568",
            "telephone_number": "919-221-7883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "696 N SPENCE AVE STE A",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275344354",
            "telephone_number": "919-330-4147",
            "fax_number": "919-330-4142"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2602 Courtier Dr",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "NC",
            "postal_code": "278347818",
            "country_code": "US",
            "telephone_number": "252-752-0483",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORSYTHE",
        "first_name": "MICHAELA",
        "credential": "LCMHC, LCAS, CSI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-08",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NC",
            "license": "A14654",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "25188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goldsboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2026; 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.