Active NPI
Billie Edward Forisha, PH.D.
- Counseling Psychologist
- Minneapolis, MN
National Provider Identifier
1952517575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- LPO 929
- Practice address
- 4715 Northrop Dr
Minneapolis, MN 55406-3657 - Phone
- (206) 661-6918
- NPI assigned
- May 14, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | LPO 929 | MN | Primary |
| Marriage & Family Therapist | 106H00000X | LF00001275 | WA |
Addresses
Primary practice location
4715 Northrop Dr
Minneapolis, MN 55406-3657
Mailing address
4715 Northrop Dr
Minneapolis, MN 55406-3657
Phone (206) 661-6918
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPO 929 | MN | MD | Counseling Psychologist |
| LF00001275 | WA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1254528000000",
"number": "1952517575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4715 NORTHROP DR",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554063657",
"telephone_number": "206-661-6918"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4715 NORTHROP DR",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554063657",
"telephone_number": "206-661-6918"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORISHA",
"first_name": "BILLIE",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-14",
"last_updated": "2009-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "MN",
"license": "LPO 929",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "WA",
"license": "LF00001275",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.