Active NPI
Nancy Marie Forney, LPC
- Mental Health Counselor
- Colorado Springs, CO
National Provider Identifier
1679643977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 0015269
- Practice address
- 3230 E Woodmen Rd Ste 110B
Colorado Springs, CO 80920-8502 - Phone
- (719) 301-0290
- Fax
- (719) 426-9776
- NPI assigned
- Nov 8, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPC11903 | AZ | |
| Mental Health Counselor | 101YM0800X | 0015269 | CO | Primary |
Addresses
Primary practice location
3230 E Woodmen Rd Ste 110B
Colorado Springs, CO 80920-8502
Mailing address
8242 Burl Wood Dr
Colorado Springs, CO 80908-1485
Phone (719) 301-0290
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LPC11903 | Other | AZ | THERAPIST |
| 0015269 | Other | CO | THERAPIST |
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 |
|---|---|---|---|
| LPC11903 | AZ | MD | Mental Health Counselor |
| 0015269 | CO | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620432000000",
"number": "1679643977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8242 BURL WOOD DR",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809081485",
"telephone_number": "719-301-0290",
"fax_number": "719-426-9776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3230 E WOODMEN RD STE 110B",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809208502",
"telephone_number": "719-301-0290",
"fax_number": "719-426-9776"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORNEY",
"first_name": "NANCY",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-08",
"last_updated": "2021-05-08",
"certification_date": "2021-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AZ",
"license": "LPC11903",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CO",
"license": "0015269",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "THERAPIST",
"identifier": "LPC11903",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "THERAPIST",
"identifier": "0015269",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.