Active NPI
James Ernest Forrester, EDD
- Professional Counselor
- Virginia Beach, VA
National Provider Identifier
1609019967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701000588
- Practice address
- 4417 Corporation LN
Virginia Beach, VA 23462-3162 - Phone
- (757) 552-7179
- Fax
- (757) 552-7508
- NPI assigned
- Apr 15, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0701000588 | VA | Primary |
Addresses
Primary practice location
4417 Corporation LN
Virginia Beach, VA 23462-3162
Mailing address
4417 Corporation LN
Virginia Beach, VA 23462-3162
Phone (757) 552-7179
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0701000588 | Other | VA | BOARD OF COUNSELING |
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 |
|---|---|---|---|
| 0701000588 | VA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239753600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1239753600000",
"number": "1609019967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4417 CORPORATION LN",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234623162",
"telephone_number": "757-552-7179",
"fax_number": "757-552-7508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4417 CORPORATION LN",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234623162",
"telephone_number": "757-552-7179",
"fax_number": "757-552-7508"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORRESTER",
"first_name": "JAMES",
"middle_name": "ERNEST",
"name_prefix": "Dr.",
"credential": "EDD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-04-15",
"last_updated": "2009-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701000588",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF COUNSELING",
"identifier": "0701000588",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.