Joanna G Forrest, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

001417 Issued in CT

Practice address

105 Danbury Rd Ste 203
Ridgefield, CT 06877-4147

Phone

(203) 501-0822

NPI assigned

Nov 17, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Joanna G Leon Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Joanna G Forrest, LPC, LLC

  • Professional Counselor
  • Ridgefield, CT
  • NPI 1336448604
  NPD Authorized official

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632096000000",
    "number": "1811060585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 DANBURY RD",
            "city": "RIDGEFIELD",
            "state": "CT",
            "postal_code": "068774147",
            "telephone_number": "203-501-0822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 DANBURY RD STE 203",
            "city": "RIDGEFIELD",
            "state": "CT",
            "postal_code": "068774147",
            "telephone_number": "203-501-0822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORREST",
        "first_name": "JOANNA",
        "middle_name": "G",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-17",
        "last_updated": "2021-09-20",
        "certification_date": "2021-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "001417",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS BLUE SH",
            "identifier": "240001417CT01",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN",
            "identifier": "358781",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOANNA",
            "last_name": "LEON",
            "middle_name": "G",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Eva Fontaine, LMFT
• Liv Forberg, MS,PT
• Justin Guy Ford, DO
• Robin B Forman Rose, D.O.
• Rebekah Forni
• Ava Reese Fowler, OTR
• Mary Frangus, PT
• Josephine Anne Franzese, D.M.D.
• Robin G. Freedman, LPC
• Lisa Marie Fryer, M.S. SLP-CCC

• Professional Counselor in Ridgefield, CT
• Providers in Ridgefield, CT by specialty
• Professional Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.