Active NPI
Joseph Forrest, LIMHP
- Mental Health Counselor
- Omaha, NE
National Provider Identifier
1720527468
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 2163
- Practice address
- Emile @ 42ND St
Omaha, NE 68198-5575 - Phone
- (402) 552-6007
- NPI assigned
- Feb 14, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 11109 | NE | |
| Social Worker | 104100000X | 1835 | NE | |
| Clinical Social Worker | 1041C0700X | 7139 | NE | |
| Mental Health Counselor | 101YM0800X | 2163 | NE | Primary |
Addresses
Primary practice location
Emile @ 42ND St
Omaha, NE 68198-5575
Mailing address
988102 Nebraska Medical Ctr
Omaha, NE 68198-8102
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11109 | NE | MD | Counselor |
| 1835 | NE | MD | Mental Health Counselor |
| 2163 | NE | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601856000000",
"number": "1720527468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "988102 NEBRASKA MEDICAL CTR",
"city": "OMAHA",
"state": "NE",
"postal_code": "681988102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "EMILE @ 42ND ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681985575",
"telephone_number": "402-552-6007"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORREST",
"first_name": "JOSEPH",
"credential": "LIMHP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-02-14",
"last_updated": "2020-10-05",
"certification_date": "2020-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NE",
"license": "11109",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NE",
"license": "1835",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NE",
"license": "7139",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "2163",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.