Alisa Forney

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

060613 Issued in OH

Practice address

1735 S Hawkins Ave
Akron, OH 44320-3902

Phone

(330) 867-5400

Fax

(330) 869-8263

NPI assigned

Nov 22, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Urban Ounce of Prevention Behavioral Health Services, Incorporated

  • Community/Behavioral Health Agency
  • Akron, OH
  • NPI 1679690309
  NPD (past)

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

{
    "created_epoch": "1511308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511308800000",
    "number": "1871007195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8189",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443200189",
            "telephone_number": "330-867-5400",
            "fax_number": "330-869-8263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1735 S HAWKINS AVE",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443203902",
            "telephone_number": "330-867-5400",
            "fax_number": "330-869-8263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORNEY",
        "first_name": "ALISA",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-22",
        "last_updated": "2017-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "060613",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3112492",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Ford Jr.
• Shawnta Kimyatta Forester
• Forever Ink
• Alyssa Brooke Foringer, MD
• Hallie Forish, LPC
• Jennette Forrest
• John Forrette, PSY.D.
• Beth Ann Forst, CPNP
• Berit Maria Forsyth, RN
• Miranda Berit Forsyth

• Addiction (Substance Use Disorder) Counselor in Akron, OH
• Providers in Akron, OH by specialty
• Addiction (Substance Use Disorder) Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 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.