NICO FOREST M.A., LPC
NPI 1023468501
Counselor - Professional in Grants Pass, OR

Active since June 15, 2016PECOS EnrolledAccepts Medicare Assignment
1545 HARBECK RD, GRANTS PASS, OR 97527(541) 476-2373 Get Directions Write a Review

NPPES record last updated: February 7, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 7, 2024, Aug 1, 2022, Jun 15, 2016 (3 updates tracked since 2016).

About Nico Forest M.a., Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICO FOREST M.A., LPC (NPI 1023468501) is an individual professional provider in Grants Pass, Oregon, licensed in Oregon (C5470) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1023468501
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameNICO FORESTCredential: M.A., LPC
Location Address1545 HARBECK RDGrants Pass, OR 97527-5605
Mailing Address1215 Sw G StGrants Pass, OR 97526-2544 · (541) 476-2373
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJune 15, 2016
Last NPPES UpdateFebruary 7, 20243 updates tracked since enumeration
NPPES CertifiedFebruary 7, 2024
✔ NPI 1023468501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in OR · C5470
1545 HARBECK RD, Grants Pass, OR 97527

Other Names 1

Former Name (1)Nicholas Clinton Forest Anderson

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nico Forest M.a., Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3971954058
PECOS Enrollment IDI20240112003330
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Nico Forest reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Primary Care
1545 HARBECK RD
Grants Pass, OR 97527
  • Reassigned Medicare billing, Oregon enrollment
  • 125 clinicians in this Medicare group
Mental Health
937 CHETCO AVE STE D
Brookings, OR 97415
  • Reassigned Medicare billing, Oregon enrollment

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Professional)
1545 HARBECK RD
GRANTS PASS, OR 97527
Counselor (Mental Health)
1545 HARBECK RD
GRANTS PASS, OR 97527
Counselor (Professional)
1545 HARBECK RD
GRANTS PASS, OR 97527
Counselor (Mental Health)
1545 HARBECK RD
GRANTS PASS, OR 97527
Counselor (Mental Health)
1545 HARBECK RD
GRANTS PASS, OR 97527
Counselor (Mental Health)
1545 HARBECK RD
GRANTS PASS, OR 97527
Counselor (Mental Health)
1545 HARBECK RD
GRANTS PASS, OR 97527
Counselor (Mental Health)
1545 HARBECK RD
GRANTS PASS, OR 97527

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nico Forest's NPI number?

The NPI number for Nico Forest is 1023468501. It was assigned to this individual provider in the NPPES registry on June 15, 2016. The provider is also known as Nicholas Clinton Forest Anderson.

Where is Nico Forest located?

Nico Forest practices at 1545 Harbeck Rd, Grants Pass, OR 97527. The listed phone number is (541) 476-2373.

What is Nico Forest's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Nico Forest enrolled in Medicare?

Yes. Nico Forest is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Nico Forest's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nico Forest reassigns Medicare benefits to 2 organizations: Options For Southern Oregon (Grants Pass, OR) and Forest Counseling LLC (Brookings, OR). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nico Forest's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nico Forest accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Nico Forest as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nico Forest was last updated on February 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.