Nicole Jeannine Forberg, B.A

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1155 Kelly Johnson Blvd
Suite 111
Colorado Springs, CO 80920-3932

Phone

(719) 590-4124

NPI assigned

May 25, 2012

Last updated

May 25, 2012By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

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

{
    "created_epoch": "1337904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337904000000",
    "number": "1881954691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4810 HOBKIRKS PT",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809065599",
            "telephone_number": "719-433-5790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 KELLY JOHNSON BLVD",
            "address_2": "SUITE 111",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809203932",
            "telephone_number": "719-590-4124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORBERG",
        "first_name": "NICOLE",
        "middle_name": "JEANNINE",
        "credential": "B.A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-25",
        "last_updated": "2012-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Foot & Ankle Center of Southern Colorado PC
• Foot and Ankle Institute of Colorado, PC
• Foot and Ankle Surgical Assistants LLC
• Kathryn Marie Foote, LPC
• Jennifer Celeste Footman, MSW, LSW
• Jeffery Force, NRP
• Mary Vanoyen Force, MS, ANP-BC, BSN
• Rebecca Kristine Force, BCBA
• Sarah Spinella Forcey, PHD
• Rayna Forcum

• Mental Health Counselor in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Mental Health Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2012; 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.