Forest Counseling Center LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

0701006562 Issued in VA

Legal business name

FOREST COUNSELING CENTER LLC

Practice address

1507 Thomas Jefferson Rd
Forest, VA 24551-3808

Phone

(434) 322-1133

NPI assigned

May 10, 2017

Last updated

May 10, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kristopher Shaffer, LPC

Title

Owner

Phone

(434) 322-1133

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1494374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494374400000",
    "number": "1740716901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1765 WATERLICK RD",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245017229",
            "telephone_number": "434-322-1133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1507 THOMAS JEFFERSON RD",
            "city": "FOREST",
            "state": "VA",
            "postal_code": "245513808",
            "telephone_number": "434-322-1133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREST COUNSELING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-10",
        "last_updated": "2017-05-10",
        "status": "A",
        "authorized_official_last_name": "SHAFFER",
        "authorized_official_first_name": "KRISTOPHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "434-322-1133",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "VA",
            "license": "0701006562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles O Faulconer Jr., RPH
• Fawn Workman NP LLC (Hello Hope)
• Amy S Feigel, M.A., LPC
• Brittany L Finch, LPC
• Forest Counseling Center
• Forest Foot and Ankle Center
• Forest Medical Transportation
• Forest Womens Center
• Lena K Fortenberry, NP
• Aurelie Rose Foster, MS, CCC-SLP

• Mental Health Clinic/Center (Including Community Mental Health Center) in Forest, VA
• Providers in Forest, VA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2017; 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.