Forget-Me-Notwellness Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

FORGET-ME-NOTWELLNESS SERVICES

Practice address

401 E Northern Lights Blvd Ste 205
Anchorage, AK 99503-2814

Phone

(907) 891-1878

NPI assigned

Oct 3, 2019

Organization subpart

No

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

Authorized official

Name

Ms. Michelle Renee Brown, LPN/COUNSELORNPI 1578111423

Title

Owner/LPN/Counselor

Phone

(907) 891-1878

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michelle Renee Brown, LICENSE PRACTICAL

  • Addiction (Substance Use Disorder) Counselor
  • Anchorage, AK
  • NPI 1578111423
  NPD Authorized official

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

{
    "created_epoch": "1570060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570060800000",
    "number": "1730720459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 E NORTHERN LIGHTS BLVD STE 205",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995032814",
            "telephone_number": "907-891-1878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E NORTHERN LIGHTS BLVD STE 205",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995032814",
            "telephone_number": "907-891-1878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORGET-ME-NOTWELLNESS SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-03",
        "last_updated": "2019-10-03",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "OWNER/LPN/COUNSELOR",
        "authorized_official_telephone_number": "907-891-1878",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPN/COUNSELOR"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1578111423",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "84-191380",
            "state": "AK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "AKaims",
            "affiliation": "N",
            "endpointDescription": "State of Alsaka Medicaid system",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Substance assessments",
            "address_1": "401 E Northern Lights Blvd Ste 205",
            "city": "Anchorage",
            "state": "AK",
            "country_code": "US",
            "postal_code": "995032814",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• James Patrick Ford
• Ryan Scott Fordt, D.C
• Forget Me Not Assisted Living Home, Inc.
• Forget Me Not Healthcare Clinic LLC
• Forget Me Not OT LLC
• Michelle Fornelli, AU.D.
• George Calvin Forney
• Christine Marie Forro, CDM
• Marie Badjan Forster
• Jennifer Lynn Forsythe, RN

• Community/Behavioral Health Agency in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Community/Behavioral Health Agency in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.