Active NPI
Forward Therapy
- Adult Mental Health Clinic/Center
- Midland, MI
National Provider Identifier
1699410092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- Legal business name
- FORWARD THERAPY
- Practice address
- 5103 Eastman Ave Ste 179
Midland, MI 48640-6725 - Phone
- (989) 423-0592
- NPI assigned
- Apr 29, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Megan Lynn Welke, LMSW
- Title
- Owner/Clinician
- Phone
- (989) 600-2110
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | Primary |
Addresses
Primary practice location
5103 Eastman Ave Ste 179
Midland, MI 48640-6725
Mailing address
5103 Eastman Ave Ste 179
Midland, MI 48640-6725
Phone (989) 423-0592
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
5103 Eastman Ave
Ste 179
Midland, MI 48640
Phone (989) 423-0592
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Midland, MI
- NPI 1942031430
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651190400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1651190400000",
"number": "1699410092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5103 EASTMAN AVE STE 179",
"city": "MIDLAND",
"state": "MI",
"postal_code": "486406725",
"telephone_number": "989-423-0592"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5103 EASTMAN AVE STE 179",
"city": "MIDLAND",
"state": "MI",
"postal_code": "486406725",
"telephone_number": "989-423-0592"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FORWARD THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2022-04-29",
"last_updated": "2022-04-29",
"certification_date": "2022-04-29",
"status": "A",
"authorized_official_last_name": "WELKE",
"authorized_official_first_name": "MEGAN",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "OWNER/CLINICIAN",
"authorized_official_telephone_number": "989-600-2110",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LMSW"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Midland, MI
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.