KAITLEN FORMAN (NPI# 1396382826) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396382826 |
| Entity Type | Individual |
| Full Name | KAITLEN FORMAN |
| Credential | LPC, M.S., NCC |
| Practice Address |
920 S Main St Ste 198 Grapevine TX 76051-7516 |
| Practice Telephone | 2144782050 |
| Mailing Telephone | 2144782050 |
| Enumeration Date | 2019-12-03 |
| Last Update Date | 2019-12-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
75642 | TX | Behavioral Health & Social Service Providers |
| Street Address |
920 S MAIN ST STE 198 |
| City | GRAPEVINE |
| State | TX |
| Zip Code | 76051-7516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659971778 | Food Freedom Therapy, Pllc | Clinic/Center | 920 S Main St Ste 198, Grapevine, TX 76051-7516 | 2020-10-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881227346 | Jeffrey Joseph Cervenka | Physical Therapist | 2421 Ira E Woods Ave #101, Grapevine, TX 76051 | 2020-02-12 |
| 1871137562 | Karen Lorince | Counselor | 2409 N. Support Road, Grapevine, TX 76051 | 2019-11-05 |
| 1548733785 | Jessica Thorman Johnson | Dietitian, Registered | 1056 Texan Trail (fortis Bmi), Grapevine, TX 76051 | 2019-01-10 |
| 1164928958 | Kristen Diou | Counselor | 913 S Church St Ste 103, Grapevine, TX 76051 | 2018-04-02 |
| 1356860597 | Anissa Singratanakul D.m.d, Pllc | Dentist | 1231 William D Tate Suite 400, Grapevine, TX 76051 | 2017-09-19 |
| 1033637665 | James Abraham Thomas | Pharmacy | 1601 W. State Hwy 114, Grapevine, TX 76051 | 2017-09-04 |
| 1437606563 | D'anna Sims | Counselor | 2451 Stone Myers Parkway, #100, Grapevine, TX 76051 | 2016-09-07 |
| 1477006369 | Melinda Jeanne Mashburn | Nurse Practitioner | 1600 West College St., Suite 60, Grapevine, TX 76051 | 2016-07-27 |
| 1437506623 | Allcare Physicians Group | Registered Nurse | 1111 S Main St Ste 119, Grapevine, TX 76051 | 2016-05-18 |
| 1790141745 | Colwick Counseling | Clinic/Center | 1400 W. Northwest Highway Suite 260, Grapevine, TX 76051 | 2016-01-06 |
| Find all providers in zip 76051 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760080048 | Valor Counseling Services LLC | Counselor | 2022 W Northwest Hwy Ste 205, Grapevine, TX 76051-7852 | 2020-10-09 |
| 1316575616 | Cari Debey | Counselor | 4458 Vineyard Creek Dr, Grapevine, TX 76051-1130 | 2020-03-31 |
| 1871137562 | Karen Lorince | Counselor | 2409 N. Support Road, Grapevine, TX 76051 | 2019-11-05 |
| 1508343138 | Kali Beth Mcdonald | Counselor | 2600 Abercorn Dr, Grapevine, TX 76051-7708 | 2018-07-26 |
| 1386187482 | Amy Ramone | Counselor | 2305 Mustang Dr, Suite 200, Grapevine, TX 76051-4697 | 2016-11-22 |
| 1437606563 | D'anna Sims | Counselor | 2451 Stone Myers Parkway, #100, Grapevine, TX 76051 | 2016-09-07 |
| 1114337243 | Cindy Stites | Counselor | 4201 Pool Rd, Grapevine, TX 76051-6878 | 2014-04-28 |
| 1669709259 | Cheryl Jones Rutherford | Counselor | 920 S. Main Street, Suite 198, Grapevine, TX 76051 | 2009-11-03 |
| 1962690511 | Joy Anne Kramer | Counselor | 1738 Chaparral Ct, Grapevine, TX 76051-4826 | 2007-10-09 |
| 1306031638 | Gishela Satarino | Counselor | 1452 Hughes Rd Ste 280, Grapevine, TX 76051-7391 | 2007-09-10 |
| Find all providers in GRAPEVINE | ||||
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| 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.