Dr. Michael Duane Forrest, Ph.D, LPC, NCC
Counselor, Professional in Grand Rapids, MI. Individual provider (NPI-1).
NPI number1154477313
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1154477313
- Entity type
- Individual (NPI-1)
- Name
- Dr. Michael Duane Forrest
- Credential
- Ph.D, LPC, NCC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 28, 2007
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 6401007911 | MI | Yes |
Practice location
3501 Lake Eastbrook Blvd SeSuite 280
Grand Rapids, MI 49546-5938
Phone 616-942-7331
Mailing address
3501 Lake Eastbrook Blvd SeSuite 280
Grand Rapids, MI 49546-5938
Phone 616-942-7331
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