Individual provider Active NPI

Anna Belle Stoddard Forest, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Portland, ME
National Provider Identifier
1750471884
Registry record updated Nov 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
ST1692 Issued in ME
Practice address
222 Auburn St.
Portland, ME 04103-6004
Phone
(207) 797-8255
Fax
(207) 797-5560
NPI assigned
Oct 12, 2006
Last updated
Nov 4, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 6885 SC
Speech-Language Pathologist 235Z00000X ST1692 ME Primary

Addresses

Primary practice location

222 Auburn St.
Portland, ME 04103-6004

Mailing address

123 Chesterbook LN
Lexington, SC 29072
Phone (860) 919-0732

Other practice location 1

123 Chesterbrook Ln
Lexington, SC 29072-8698
Phone (860) 919-0732

Other identifiers 1

IdentifierTypeStateIssuer
432352099MedicaidME

Other names 1

  • Anna Belle McGonagle Former name

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)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
ST1692MEMDSpeech-Language Pathologist
6885SCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Forest Speech and Feeding Therapy LLC Speech-Language Pathologist CurrentSince Jun 26, 2022 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635984000000",
    "number": "1750471884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 CHESTERBOOK LN",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "29072",
            "telephone_number": "860-919-0732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 AUBURN ST.",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041036004",
            "telephone_number": "207-797-8255",
            "fax_number": "207-797-5560"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "123 Chesterbrook Ln",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "SC",
            "postal_code": "290728698",
            "country_code": "US",
            "telephone_number": "860-919-0732",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOREST",
        "first_name": "ANNA BELLE",
        "middle_name": "STODDARD",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2021-11-04",
        "certification_date": "2021-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "6885",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ME",
            "license": "ST1692",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "432352099",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNA BELLE",
            "last_name": "MCGONAGLE",
            "credential": "M.S., CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Portland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2021; 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.