STEPHANIE FORGAS (NPI# 1841816741) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1841816741 |
Entity Type | Individual |
Full Name | STEPHANIE FORGAS |
Credential | LCPC |
Practice Address |
2200 Lake Victoria Dr Springfield IL 62703-5596 |
Mailing Address |
55 E Jackson Blvd Ste 1500 Chicago IL 60604-4184 |
Practice Telephone | 2175299266 |
Mailing Telephone | 3126631130 |
Enumeration Date | 2020-06-17 |
Last Update Date | 2020-06-17 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP2500X |
Counselor Specialization: Professional |
180012185 | IL | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | STATE LICENSE | 180012185 | 01 |
Street Address |
2200 LAKE VICTORIA DR |
City | SPRINGFIELD |
State | IL |
Zip Code | 62703-5596 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326296856 | Gateway Foundation, Inc. | Clinic/Center | 2200 Lake Victoria Dr, Springfield, IL 62703-5596 | 2008-09-09 |
1285272591 | Gateway Professional Services, PC | Counselor | 2200 Lake Victoria Dr, Springfield, IL 62703-5596 | 2019-12-17 |
1679115349 | David Bova | Counselor | 2200 Lake Victoria Dr, Springfield, IL 62703-5596 | 2019-10-14 |
1063988491 | Gina Howard | Counselor | 2200 Lake Victoria Dr, Springfield, IL 62703-5596 | 2018-10-24 |
1255807871 | Jennie Mccormick | Counselor | 2200 Lake Victoria Dr, Springfield, IL 62703-5596 | 2018-10-22 |
1518456607 | Thomas J Beck | Counselor | 2200 Lake Victoria Dr, Springfield, IL 62703-5596 | 2018-05-04 |
1841788932 | Joshua M Becker | Counselor | 2200 Lake Victoria Dr, Springfield, IL 62703-5596 | 2018-04-25 |
1093203093 | Denise L Skinner | Counselor | 2200 Lake Victoria Dr, Springfield, IL 62703-5596 | 2018-04-25 |
1699130856 | Gateway Foundation Inc. | Substance Abuse Rehabilitation Facility | 2200 Lake Victoria Dr, Springfield, IL 62703-5596 | 2015-12-15 |
1518346568 | Clayton Gerald Parks | Internal Medicine | 2200 Lake Victoria Dr, Springfield, IL 62703-5596 | 2015-05-22 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790260917 | Jessica Lynne Zeeck | Behavior Technician | 5220 6th Street Frontage Road, E Suite 1700, Springfield, IL 62703 | 2018-10-03 |
1215415799 | Bree Schmulbach | Nurse Practitioner | Bsb Room 20, Springfield, IL 62703 | 2018-08-06 |
1144712100 | Fresenius Medical Care Springfield East, LLC | Clinic/Center | 140 S. Martin Luther King Jr. Drive, Springfield, IL 62703 | 2018-06-05 |
1558889170 | Ji Woung Choi | Dentist | 687 E Linton Ave., Springfield, IL 62703 | 2017-09-04 |
1477006161 | Encompass Home Health of The Midwest,llc | Home Health | 2970 Baker Dr, Springfield, IL 62703 | 2016-07-28 |
1851706824 | Terah Louise Holland | Obstetrics & Gynecology | 1100 E Lincolnshire Blvd Ste 200, Springfield, IL 62703 | 2014-06-27 |
1578993101 | Corey Moore | Behavioral Analyst | 5520 South 6th Street Road, Suite 1700, Springfield, IL 62703 | 2013-11-18 |
1134463052 | The Center for Youth and Family Solutions Inc. | Voluntary or Charitable | 614 North Sixth Street, Springfield, IL 62703 | 2012-11-15 |
1447519111 | Tenshi Furumi | Specialist/Technologist | One University Plaza, Univ. of Illinois-springfield, Ms Rec 2004, Springfield, IL 62703 | 2012-05-15 |
1447558390 | Shalini Mulkanoor | Family Medicine | 1100 E. Lincolnshire Blvd., Suite 200, Springfield, IL 62703 | 2011-03-02 |
Find all providers in zip 62703 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
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1356986319 | Three Dirty Birds LLC | Counselor | 805 Lorraine Dr, Springfield, PA 19064-1004 | 2019-11-14 |
1992348916 | Tiffany Looney | Counselor | 1705 Centennial Blvd Ste 1, Springfield, OR 97477-3320 | 2019-10-22 |
1588206346 | Carrie Stormzand | Counselor | 4546 S Quail Creek Ave, Springfield, MO 65810-1678 | 2019-10-14 |
1366084295 | Betty Jean | Counselor | 673 Morris Ave, Springfield, NJ 07081-1512 | 2019-10-11 |
Find all providers in SPRINGFIELD |
City | SPRINGFIELD |
Zip Code | 62703 |
Please comment or provide details below to improve the information on STEPHANIE FORGAS.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.