Elizabeth Forman, LPC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

83139 Issued in TX

Practice address

411 Park Grove Dr Ste 720
Katy, TX 77450-1577

Phone

(346) 482-7730

NPI assigned

Jan 6, 2023

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

State licenses

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

{
    "created_epoch": "1672963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672963200000",
    "number": "1891409611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3027 FRESCO WELLS DR",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774494617",
            "telephone_number": "281-221-2076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 PARK GROVE DR STE 720",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774501577",
            "telephone_number": "346-482-7730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORMAN",
        "first_name": "ELIZABETH",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-06",
        "last_updated": "2023-01-06",
        "certification_date": "2023-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "83139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Ford, CCC-SLP
• Kirsten Ford
• Forever Prosperity Care, LLC
• Forge the Athlete Physical Therapy
• Javet Ranae Forges, LAT, MAT
• Thanh Fornesa, PHARMD
• Kim K Forrest, D.D.S., M.S.
• Peggy Forsab
• Ashley Forster, LPC
• Fort Bend Emergency Associates PA

• Marriage & Family Therapist in Katy, TX
• Providers in Katy, TX by specialty
• Marriage & Family Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2023; 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.