Active NPI
Tammy M Forcke, LPC
- Professional Counselor
- Fayetteville, AR
National Provider Identifier
1568649481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- P1508093
- Practice address
- 91 W Colt Square Dr
Suite 4
Fayetteville, AR 72703 - Phone
- (479) 268-2874
- Fax
- (479) 282-2971
- NPI assigned
- Jan 22, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | P1508093 | AR | Primary |
| Mental Health Counselor | 101YM0800X | P1508093 | AR |
Addresses
Primary practice location
91 W Colt Square Dr
Suite 4
Fayetteville, AR 72703
Mailing address
P.O. Box 1025
Fayetteville, AR 72702
Phone (479) 268-2874
Other names 1
- Tammy Pearson
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
| License | State | Type | Specialty |
|---|---|---|---|
| P1508093 | AR | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200960000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762387200000",
"number": "1568649481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 1025",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "72702",
"telephone_number": "479-268-2874",
"fax_number": "479-282-2971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "91 W COLT SQUARE DR",
"address_2": "SUITE 4",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "72703",
"telephone_number": "479-268-2874",
"fax_number": "479-282-2971"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORCKE",
"first_name": "TAMMY",
"middle_name": "M",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-22",
"last_updated": "2025-11-06",
"certification_date": "2025-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AR",
"license": "P1508093",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AR",
"license": "P1508093",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TAMMY",
"last_name": "PEARSON",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Fayetteville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.