Organization Active NPI

Forward Therapy

  • Adult Mental Health Clinic/Center
  • Midland, MI
National Provider Identifier
1699410092
Registry record updated Apr 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
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

Updated by the provider on Apr 29, 2022

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

Authorized official

Name
Mrs. Megan Lynn Welke, LMSWNPI 1134656069
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)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
O20220506001960 MI Part B Supplier - Clinic/Group Practice 3072990324 Receives reassigned benefits from 1 practitioner
Practice locations: Midland, MI

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.