Individual provider Active NPI

Scarlett Kathryn Forbes, MA

  • Professional Counselor
  • Waterbury, CT
National Provider Identifier
1912104902
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
50 Brookside Rd
Waterbury, CT 06708-1402
Phone
(203) 755-4490
Fax
(203) 573-8053
NPI assigned
Jul 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

50 Brookside Rd
Waterbury, CT 06708-1402

Mailing address

2 Carey St
Southington, CT 06489-2916
Phone (203) 573-8053

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241227002124 CT Practitioner - Mental Health Counselor 5294262507 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Prospect CT Medical Foundation, Inc. CurrentSince Dec 9, 2024 Accepting new patients
State of Connecticut CurrentSince Jan 25, 2025 Accepting new patients
State of Connecticut CurrentSince Jan 25, 2025 Accepting new patients

Locations

1801 W Olympic Blvd
#2201
Pasadena, CA 91199

450 Columbus Blvd
Ste 1001
Hartford, CT 06103

18 Haynes St
Uppr
Manchester, CT 06040
Phone (860) 649-7557

249 Winsted Rd
Fl 3
Torrington, CT 06790
Phone (860) 496-3700

55 W Main St
Ste 410
Waterbury, CT 06702
Phone (203) 805-6408

64 Robbins St
Waterbury, CT 06708
Phone (203) 573-7142

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912104902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CAREY ST",
            "city": "SOUTHINGTON",
            "state": "CT",
            "postal_code": "064892916",
            "telephone_number": "203-573-8053",
            "fax_number": "203-573-8053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 BROOKSIDE RD",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067081402",
            "telephone_number": "203-755-4490",
            "fax_number": "203-573-8053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORBES",
        "first_name": "SCARLETT",
        "middle_name": "KATHRYN",
        "name_prefix": "Ms.",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterbury, CT

Sources for this page

Verify at the official NPI Registry.