Brittany Forman, LPC - Counselor in Uhrichsville, OH

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Brittany Forman, LPC is a Counselor based in Uhrichsville, Ohio. Brittany Forman is licensed to practice in Ohio (license number 1901911) and her current practice location is 117 E 3rd St Rear, Uhrichsville, Ohio. She can be reached at her office (for appointments etc.) via phone at (740) 922-2144.

NPI number for Brittany Forman is 1407406721 and her current mailing address is 2000 Noble Dr, Wooster, Ohio. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1407406721.

Contact Information

Brittany Forman, LPC
117 E 3rd St Rear,
Uhrichsville, OH 44683-1818
(740) 922-2144
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameBrittany Forman
GenderFemale
SpecialityCounselor
Location117 E 3rd St Rear, Uhrichsville, Ohio
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1407406721
  • Provider Enumeration Date: 09/18/2019
  • Last Update Date: 12/15/2023

Medical Identifiers

Medical identifiers for Brittany Forman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407406721NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101Y00000XCounselor 1901911 (Ohio)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Brittany Forman is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Brittany Forman, LPC
2000 Noble Dr,
Wooster, OH 44691-5353

Ph: (330) 264-3232		Brittany Forman, LPC
117 E 3rd St Rear,
Uhrichsville, OH 44683-1818

Ph: (740) 922-2144

Reviews and Comments


Counselor in Uhrichsville, OH

Roseline Das, LPC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 204 E 3rd St, Uhrichsville, OH 44683
Phone: 740-922-3801    Fax: 740-922-6660
Kathryn A Troha, LPC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 117 E 3rd St Rear, Uhrichsville, OH 44683
Phone: 740-922-2144    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.