Active NPIIndividual provider

Ms. Susan L Forkus, LCPC

Counselor, Professional in Bryant Pond, Maine

NPI Number1124350749
Practice location
201 S Main St, Bryant Pond, ME 04219-6431
Fax
—
Last updated
February 6, 2010

Susan L. Forkus is a Counselor, Professional based in Bryant Pond, ME. Susan L. Forkus practices in Bryant Pond, ME and has the professional credentials of LCPC. The NPI Number for Susan L. Forkus is 1124350749 and holds a License No. CC1048 (ME). The current practice location address for Susan L. Forkus is 201 S Main St, Bryant Pond, ME 04219-6431 and can be reached out via phone at 207-665-2616.

Provider Profile Details

NPI Number
1124350749
Provider Name
Susan L. Forkus
Credential
LCPC
Provider Entity Type
Individual
Gender
Female
Address
201 S Main St, Bryant Pond, ME 04219-6431
Phone Number
207-665-2616
Primary Taxonomy
Counselor, Professional · 101YP2500X
Sole Proprietor
No
Provider Enumeration Date
February 6, 2010
Last Update Date
February 6, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
201 S Main St
Bryant Pond, ME 04219-6431
State
Maine
Zip
04219-6431
Phone Number
207-665-2616
Bryant Pond, ME 04219Get directions →

Provider Business Mailing Address Details

Address
Po Box 15
201 South Main Street
Bryant Pond, ME 04219-0015
City
Bryant Pond
State
ME
Zip
04219-0015
Phone Number
207-665-2616

License Information

License Number
CC1048
License State
ME
Taxonomy
Counselor, Professional · 101YP2500X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ms. Susan L Forkus, LCPC?

The NPI number of Ms. Susan L Forkus, LCPC is 1124350749. It was assigned on February 6, 2010 and is currently active in the NPPES registry.

What is the specialty of Ms. Susan L Forkus, LCPC?

Ms. Susan L Forkus, LCPC is registered under the primary taxonomy Counselor, Professional (code 101YP2500X), licensed in ME under license number CC1048.

Where does Ms. Susan L Forkus, LCPC practice?

The practice location is 201 S Main St, Bryant Pond, ME 04219-6431. The office can be reached at 207-665-2616 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1124350749 directly on the NPPES registry website.

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