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DEVON SIMONE FORNEY MA, LCPC, CAADC, NCC
NPI 1043701550
Counselor - Professional in Chicago, IL

Active since May 21, 2018PECOS Enrolled
1130 S MICHIGAN AVE APT 3606, CHICAGO, IL 60605(843) 263-7733 Get Directions Write a Review

NPPES record last updated: June 6, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 6, 2024, May 21, 2018 (2 updates tracked since 2018).

About Devon Simone Forney Ma, Lcpc, Caadc, Ncc NPPES

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

DEVON SIMONE FORNEY MA, LCPC, CAADC, NCC (NPI 1043701550) is an individual professional provider in Chicago, Illinois, licensed in Illinois (180.015985) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Monroe, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1043701550
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameDEVON SIMONE FORNEYCredential: MA, LCPC, CAADC, NCC
Location Address1130 S MICHIGAN AVE APT 3606Chicago, IL 60605-2323
Mailing Address1130 S Michigan Ave Apt 3606Chicago, IL 60605-2323 · (843) 263-7733
Phone(843) 263-7733
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMay 21, 2018
Last NPPES UpdateJune 6, 20242 updates tracked since enumeration
NPPES CertifiedJune 6, 2024
✔ NPI 1043701550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses✔ Licensed in IL · 180.015985✔ Licensed in NC · 13837
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 37769 (IL)
1130 S MICHIGAN AVE APT 3606, Chicago, IL 60605
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Secondary Practice Location 1

Location 11190 W Roosevelt BlvdMonroe, NC 28110-2818 · Phone (704) 296-6200 · Fax (704) 296-4669

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Devon Simone Forney Ma, Lcpc, Caadc, Ncc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1052818135
PECOS Enrollment IDI20251007000787
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 Reassignment

Medicare enrollment records show Devon Forney reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Thriveworks Clinical - Illinois
1.3 mi
Mental Health
333 N MICHIGAN AVE STE 1810
Chicago, IL 60601
  • Reassigned Medicare billing, Illinois enrollment
  • 66 clinicians in this Medicare group
NPI 1164190633 (855) 284-7483

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

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 Devon Forney's NPI number?

The NPI number for Devon Forney is 1043701550. It was assigned to this individual provider in the NPPES registry on May 21, 2018.

Where is Devon Forney located?

Devon Forney practices at 1130 S Michigan Ave Apt 3606, Chicago, IL 60605. The listed phone number is (843) 263-7733.

What is Devon Forney's specialty?

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

Is Devon Forney enrolled in Medicare?

Yes. Devon Forney is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Devon Forney's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Devon Forney reassigns Medicare benefits to Thriveworks Clinical - Illinois (Chicago, IL). The 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 Devon Forney's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Devon Forney accept?

Health plans from UnitedHealthcare list Devon Forney 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 Devon Forney was last updated on June 6, 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.