Jon D. Forsberg, MA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

5155 E River Rd Ste 401
Fridley, MN 55421-3777

Phone

(763) 438-4038

Fax

(763) 780-3306

NPI assigned

Aug 1, 2016

Sex

Male

Sole proprietor

No

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 MN

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 and National Provider Directory roles.

• Natalis Counseling and Psychology Solutions, P.a.

  • Psychologist
  • Saint Paul, MN
  • NPI 1447369673
  Medicare reassignment NPD
• Lighthouse Psychological Services Inc

  • Community/Behavioral Health Agency
  • Saint Paul, MN
  • NPI 1548428170
  Medicare reassignment

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

{
    "created_epoch": "1470009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651190400000",
    "number": "1609329234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5155 E RIVER RD STE 401",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "554213777",
            "telephone_number": "763-438-4038",
            "fax_number": "763-780-3306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5155 E RIVER RD STE 401",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "554213777",
            "telephone_number": "763-438-4038",
            "fax_number": "763-780-3306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORSBERG",
        "first_name": "JON",
        "middle_name": "D.",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-01",
        "last_updated": "2022-04-29",
        "certification_date": "2022-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janet Gay Flanagan, PA
• Sean Thomas Fleming, CNP
• Anthony J Flink, PTA
• Emily Claire Flint
• Alfred Flores-Mendoza
• Mary Foss, PHARMD
• Devin Robert Fowler
• Laura A Franco, PT
• Kimberly Ann Franklin, DNP
• Bianca Franks

• Mental Health Counselor in Fridley, MN
• Providers in Fridley, MN by specialty
• Mental Health Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2022; 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.