EMILY JEANNE FORNWALT LCMHC-S
NPI 1083745434
Counselor - Mental Health in Johnson City, TN
About Emily Jeanne Fornwalt Lcmhc-s NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EMILY JEANNE FORNWALT LCMHC-S (NPI 1083745434) is an individual mental health provider in Johnson City, Tennessee, licensed in North Carolina (S6459) and active in the NPI registry since March 2007. She has opted out of Medicare through April 22, 2028.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Emily Jeanne Fornwalt Lcmhc-s has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 22, 2024 through April 22, 2028.
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 Emily Fornwalt's NPI number?
The NPI number for Emily Fornwalt is 1083745434. It was assigned to this individual provider in the NPPES registry on March 8, 2007.
Where is Emily Fornwalt located?
Emily Fornwalt practices at 614 W Pine St, Johnson City, TN 37604. The listed phone number is (423) 281-4089.
What is Emily Fornwalt's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Emily Fornwalt enrolled in Medicare?
No. Emily Fornwalt has opted out of Medicare through April 22, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
When was this NPI record last updated?
The NPPES record for Emily Fornwalt was last updated on May 1, 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.
