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RONALD D FORGUE QMHP
NPI 1073170908
Counselor - Mental Health in Chicago, IL

Active since May 27, 2019PECOS Enrolled
2608 W 100TH ST, CHICAGO, IL 60655(773) 445-4784(708) 575-2876 Get Directions Write a Review

NPPES record last updated: April 1, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 1, 2026, Mar 27, 2023, May 27, 2019 (3 updates tracked since 2019).

About Ronald D Forgue Qmhp NPPES

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

RONALD D FORGUE QMHP (NPI 1073170908) is an individual mental health provider in Chicago, Illinois, licensed in Illinois (178.018519) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073170908
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameRONALD D FORGUECredential: QMHP
Location Address2608 W 100TH STChicago, IL 60655-1657
Mailing Address2608 W 100th StChicago, IL 60655-1657 · (773) 445-4784
Phone(773) 445-4784
Fax(708) 575-2876
Sole ProprietorYes
Enumeration DateMay 27, 2019
Last NPPES UpdateApril 1, 20263 updates tracked since enumeration
NPPES CertifiedApril 1, 2026
✔ NPI 1073170908 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in IL · 178.018519
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 178018519 (IL)
Also ListedPsychoanalystTaxonomy 102L00000X · License 12022942 (IL)
2608 W 100TH ST, Chicago, IL 60655
Open in Google Maps ↗

Other Identifiers 2

Other8641323IL · Aetna
Medicaid1124890488IL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ronald D Forgue Qmhp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 2

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

BEHAVIOR AND CRISIS STRATEGIES
Counselor (Professional)
2608 W 100TH ST
CHICAGO, IL 60655
Cook County (708) 398-0608
4GCONCEPTS
Counselor (Mental Health)
2608 W 100TH ST
CHICAGO, IL 60655
Cook County (773) 612-4784

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 Ronald Forgue's NPI number?

The NPI number for Ronald Forgue is 1073170908. It was assigned to this individual provider in the NPPES registry on May 27, 2019.

Where is Ronald Forgue located?

Ronald Forgue practices at 2608 W 100th St, Chicago, IL 60655. The listed phone number is (773) 445-4784.

What is Ronald Forgue's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Ronald Forgue enrolled in Medicare?

Yes. Ronald Forgue is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ronald Forgue was last updated on April 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.