Gretchen F Forrey, M.A.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

IMF93922 Issued in CA

Practice address

1360 North McDowell Blvd
Penngrove, CA 94952-0256

Phone

(707) 206-1901

NPI assigned

Aug 28, 2016

Last updated

Aug 28, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• County of Marin

  • Community/Behavioral Health Agency
  • San Rafael, CA
  • NPI 1912116252
  Medicare reassignment NPD
• County of Marin

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • San Rafael, CA
  • NPI 1891968855
  NPD

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

{
    "created_epoch": "1472342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472342400000",
    "number": "1609322833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 256",
            "city": "PENNGROVE",
            "state": "CA",
            "postal_code": "949510256",
            "telephone_number": "707-206-1901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 NORTH MCDOWELL BLVD",
            "city": "PENNGROVE",
            "state": "CA",
            "postal_code": "949520256",
            "telephone_number": "707-206-1901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORREY",
        "first_name": "GRETCHEN",
        "middle_name": "F",
        "name_prefix": "Ms.",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-28",
        "last_updated": "2016-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "IMF93922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lynn Aicega, MFT/LPCC
• Kimberly Ann Brasil
• Kristen Ann Cheung, LCSW, CT
• Caitlin L Conklin, BCBA
• Magdalena Eschenberg, DOULA
• Natalie Diane Hole, M.S., CCC-SLP
• Brittny Johnson
• Florence Landau, MA MFT
• Frances Lopez, RDH
• Allison Lianne McBrien

• Mental Health Counselor in Penngrove, CA
• Providers in Penngrove, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.