Individual provider Active NPI

Ruben Lane Forsman, PHD, LCSW

  • Mental Health Counselor
  • Saint Louis, MO
National Provider Identifier
1578267126
Registry record updated Mar 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
149.023985 Issued in IL
Practice address
3199 Morganford Rd Apt 7
Saint Louis, MO 63116-1938
Phone
(504) 758-1878
NPI assigned
Mar 28, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 149.023985 IL Primary

Addresses

Primary practice location

3199 Morganford Rd Apt 7
Saint Louis, MO 63116-1938

Mailing address

3199 Morganford Rd Apt 7
Saint Louis, MO 63116-1938
Phone (504) 758-1878

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
149.023985ILMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1679961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679961600000",
    "number": "1578267126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3199 MORGANFORD RD APT 7",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631161938",
            "telephone_number": "504-758-1878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3199 MORGANFORD RD APT 7",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631161938",
            "telephone_number": "504-758-1878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORSMAN",
        "first_name": "RUBEN",
        "middle_name": "LANE",
        "name_prefix": "Dr.",
        "credential": "PHD, LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-03-28",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "149.023985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.