Active NPI
Leah Michelle Forbis
- Professional Counselor
- Ste Genevieve, MO
National Provider Identifier
1831425438
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2009032988
- Practice address
- 820 Park Dr
Ste Genevieve, MO 63670-1566 - Phone
- (573) 883-7407
- Fax
- (573) 883-7537
- NPI assigned
- Nov 2, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2009032988 | MO | Primary |
Addresses
Primary practice location
820 Park Dr
Ste Genevieve, MO 63670-1566
Mailing address
402 S Silver Springs Rd
Cape Girardeau, MO 63703-7536
Phone (573) 339-6130
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2009032988 | MO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257120000000",
"number": "1831425438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "402 S SILVER SPRINGS RD",
"city": "CAPE GIRARDEAU",
"state": "MO",
"postal_code": "637037536",
"telephone_number": "573-339-6130",
"fax_number": "573-651-4345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "820 PARK DR",
"city": "STE GENEVIEVE",
"state": "MO",
"postal_code": "636701566",
"telephone_number": "573-883-7407",
"fax_number": "573-883-7537"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORBIS",
"first_name": "LEAH",
"middle_name": "MICHELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-11-02",
"last_updated": "2009-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "2009032988",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ste Genevieve, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.