Individual provider Active NPI

Tyson Reed Forkner, M.S. MFTC

  • Marriage & Family Therapist
  • Denver, CO
National Provider Identifier
1982476131
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFTC.0014527 Issued in CO
Practice address
720 S Colorado Blvd Ste 1353N
Denver, CO 80246-1904
Phone
(325) 660-3986
NPI assigned
Oct 23, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X MFTC.0014527 CO Primary

Addresses

Primary practice location

720 S Colorado Blvd Ste 1353N
Denver, CO 80246-1904

Mailing address

2308 N Williams St
Denver, CO 80205-5595

Other practice location 1

2308 N Williams St
Denver, CO 80205-5595
Phone (325) 660-3986

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
Master of Science

State licenses

LicenseStateTypeSpecialty
MFTC.0014527COMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mile High Continuing Care LLC Single Specialty Past Accepting new patients

Organizations & group practices 1

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": "1698019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698019200000",
    "number": "1982476131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2308 N WILLIAMS ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802055595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 S COLORADO BLVD STE 1353N",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802461904",
            "telephone_number": "325-660-3986"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2308 N Williams St",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802055595",
            "country_code": "US",
            "telephone_number": "325-660-3986",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORKNER",
        "first_name": "TYSON",
        "middle_name": "REED",
        "credential": "M.S. MFTC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-10-23",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CO",
            "license": "MFTC.0014527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.