MRS. CHRISTINE MARIE FORREST (NPI# 1922642438) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922642438 |
| Entity Type | Individual |
| Full Name | MRS. CHRISTINE MARIE FORREST |
| Credential | CPS |
| Practice Address |
1106 Marlowe St Fredericktown MO 63645-8835 |
| Mailing Address |
Po Box 403 Fredericktown MO 63645-0403 |
| Practice Telephone | 5739342079 |
| Mailing Telephone | 5739342079 |
| Enumeration Date | 2019-10-29 |
| Last Update Date | 2019-10-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers | ||
| N | 175T00000X | Peer Specialist | LC001674177 | MO | Other Service Providers |
| N | 175T00000X | Peer Specialist | 001674177 | MO | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902182736 | Christine A Forrest | Counselor | 715 N 1st Ave, Durant, OK 74701-3801 | 2011-10-25 |
| Street Address |
1106 MARLOWE ST |
| City | FREDERICKTOWN |
| State | MO |
| Zip Code | 63645-8835 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093193880 | Emily Engers | Counselor | 206 W Marvin Ave, Fredericktown, MO 63645 | 2015-05-12 |
| 1871823955 | Covenant Care Services, LLC | Custodial Care Facility | 1610 W. Hwy 72, Fredericktown, MO 63645 | 2010-01-12 |
| 1518110279 | East Missouri Action Agency, Inc. | Clinic/Center | 806 West College Rd, Fredericktown, MO 63645 | 2008-10-28 |
| 1679737324 | Linda Carole Cravens | Dentist | 731 W Main St, Guy A Walker Dds, Fredericktown, MO 63645 | 2008-07-11 |
| 1629286976 | Community Health Care Associates, Inc | Social Worker | 735 West Main, Fredericktown, MO 63645 | 2007-05-18 |
| 1467539031 | Madison Medical Center Stockhoff Memorial Nursing Home | Clinic/Center | 611 West Main Street, Fredericktown, MO 63645 | 2006-11-01 |
| 1487749537 | Covenant Care Services, LLC | Registered Nurse | 120 S. Mine Lamotte, Fredericktown, MO 63645 | 2006-10-04 |
| 1215577945 | Modern Mental Health | Community/Behavioral Health | 151 South Main Street, Suite B, Fredericktown, MO 63645 | 2020-01-10 |
| 1235392309 | Humberto Jose Olivero Lara | Family Medicine | 611 West Main Street, Fredericktown, MO 63645 | 2008-07-08 |
| 1003983859 | Madison Memorial Hospital Stockhoff Memorial Nursing Home | Pharmacy | 611 West Main Street, Fredericktown, MO 63645 | 2006-11-29 |
| Find all providers in zip 63645 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518564426 | Tuesday Florence | Peer Specialist | 1312 Highland Dr, Rolla, MO 65401-3609 | 2020-10-04 |
| 1053926006 | Poetry for Personal Power | Peer Specialist | 1730 E 63rd St, Suite 300, Kansas City, MO 64110 | 2020-09-15 |
| 1487266011 | Jason Wade Moore | Peer Specialist | 5 West Pearce Boulevard, Wentzville, MO 63385 | 2020-08-17 |
| 1326699950 | Family Advocacy and Community Training | Peer Specialist | 800 Friedens Rd Ste 200, Saint Charles, MO 63303-4198 | 2019-09-25 |
| 1073077509 | Katherine Anne Walters | Peer Specialist | 504 E Broadway Ste A, Ashland, MO 65010-9538 | 2019-01-29 |
| 1265958441 | Jessica Luedde | Peer Specialist | 1430 Olive St Fl 6, Saint Louis, MO 63103-2303 | 2017-08-18 |
| 1740718303 | Haywood Hughes | Peer Specialist | 1004 Goetz Blvd Apt 4, Joplin, MO 64801-1470 | 2017-05-26 |
| 1366848855 | Rosanna Metcalf | Peer Specialist | 925 State Highway W, Kennett, MO 63857 | 2014-11-10 |
| 1306198411 | Alicia Sutton | Peer Specialist | 248 Chez Vant Ct, Hazelwood, MO 63042-3542 | 2012-10-12 |
| 1770195315 | Renewed Hope for Mental Health, LLC | Peer Specialist | 5 W Pearce Blvd, Wentzville, MO 63385-1415 | 2020-08-17 |
| Find all providers with the same taxonomy | ||||
| City | FREDERICKTOWN |
| Zip Code | 63645 |
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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.