Individual provider Active NPI

Jannell Lynn Forestal

  • Mental Health Counselor
  • Chelmsford, MA
National Provider Identifier
1851973127
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
APC008350 Issued in GA
Practice address
2 Courthouse LN Ste 3
Chelmsford, MA 01824-1723
Phone
(978) 275-9444
Fax
(978) 275-9918
NPI assigned
Apr 26, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X APC008350 GA Primary

Addresses

Primary practice location

2 Courthouse LN Ste 3
Chelmsford, MA 01824-1723

Mailing address

2 Courthouse LN Ste 3
Chelmsford, MA 01824-1723
Phone (978) 275-9444

Other names 1

  • Jannell Lynn Taylor 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

State licenses

LicenseStateTypeSpecialty
APC008350GAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1619395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1851973127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 COURTHOUSE LN STE 3",
            "city": "CHELMSFORD",
            "state": "MA",
            "postal_code": "018241723",
            "telephone_number": "978-275-9444",
            "fax_number": "978-275-9918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 COURTHOUSE LN STE 3",
            "city": "CHELMSFORD",
            "state": "MA",
            "postal_code": "018241723",
            "telephone_number": "978-275-9444",
            "fax_number": "978-275-9918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORESTAL",
        "first_name": "JANNELL",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-26",
        "last_updated": "2024-07-30",
        "certification_date": "2022-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "APC008350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANNELL",
            "last_name": "TAYLOR",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chelmsford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; 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.