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MR. FOREST COLSTROM LCSW
NPI 1265564330
Social Worker - Clinical in Los Angeles, CA

Active since March 12, 2007PECOS Enrolled
1200 WILSHIRE BLVD, SUITE 210, LOS ANGELES, CA 90017(213) 481-7464 Get Directions Write a Review

NPPES record last updated: March 1, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mr. Forest Colstrom Lcsw NPPES

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

MR. FOREST COLSTROM LCSW (NPI 1265564330) is an individual clinical provider in Los Angeles, California, licensed in California (LCSW 25536) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265564330
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. FOREST COLSTROMCredential: LCSW
Location Address1200 WILSHIRE BLVD, SUITE 210Los Angeles, CA 90017-1908
Mailing Address4401 Moorpark Way Apt 304Toluca Lake, CA 91602-2472 · (310) 686-4656
Phone(213) 481-7464
Sole ProprietorNo
Enumeration DateMarch 12, 2007
Last NPPES UpdateMarch 1, 2012
✔ NPI 1265564330 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · LCSW 25536
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedSocial WorkerTaxonomy 104100000X · License ASW24979 (CA)
1200 WILSHIRE BLVD, Los Angeles, CA 90017
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Forest Colstrom Lcsw 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.

Medicare Billing Reassignment

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

Los Angeles Lgbt Center
5.1 mi
Federally Qualified Health Center (FQHC)
1625 SCHRADER BLVD
Los Angeles, CA 90028
  • Reassigned Medicare billing, California enrollment
  • 110 clinicians in this Medicare group
NPI 1548298532 (323) 993-7500

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90017 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $62.96 – $187.60
Typical copayment $0.00 (range $15.74 – $46.90)
Most-billed visit code NA
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

ANGELICA OROPEZA
Case Manager/Care Coordinator
1200 WILSHIRE BLVD
LOS ANGELES, CA 90017
Los Angeles County (213) 481-7464
ALEJANDRO MARCELO PIOLI MFT
Marriage & Family Therapist
1200 WILSHIRE BLVD
LOS ANGELES, CA 90017
Los Angeles County (213) 481-7464
MR. ANTHONY WARD JR. NP
Nurse Practitioner (Psychiatric/Mental Health)
1200 WILSHIRE BLVD
LOS ANGELES, CA 90017
Los Angeles County (213) 481-7464
LIZETH LOPEZ ZAMORA
Counselor (Mental Health)
1200 WILSHIRE BLVD, SUITE 210
LOS ANGELES, CA 90017
Los Angeles County (213) 481-7464
CONNIE F KESSINGER LMFT
Marriage & Family Therapist
1200 WILSHIRE BLVD, 2ND FLOOR
LOS ANGELES, CA 90017
Los Angeles County (213) 481-1374
LYNN FRIEDMAN
Contractor
1200 WILSHIRE BLVD, SUITE 500
LOS ANGELES, CA 90017
Los Angeles County (213) 481-7464
AMANECER COMMUNITY COUNSELING SERVICE, A NON-PROFIT CORPORATION
Clinic/Center (Mental Health (Including Community Mental Health Center))
1200 WILSHIRE BLVD, SUITE 200, 210, 300
LOS ANGELES, CA 90017
Los Angeles County (213) 481-7464
ELIZABETH RIVAS BA
Case Manager/Care Coordinator
1200 WILSHIRE BLVD, SUITE 500
LOS ANGELES, CA 90017
Los Angeles County (213) 481-7464

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 Forest Colstrom's NPI number?

The NPI number for Forest Colstrom is 1265564330. It was assigned to this individual provider in the NPPES registry on March 12, 2007.

Where is Forest Colstrom located?

Forest Colstrom practices at 1200 Wilshire Blvd Suite 210, Los Angeles, CA 90017. The listed phone number is (213) 481-7464.

What is Forest Colstrom's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Forest Colstrom enrolled in Medicare?

Yes. Forest Colstrom is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Forest Colstrom's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Forest Colstrom reassigns Medicare benefits to Los Angeles Lgbt Center (Los Angeles, CA). 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 Forest Colstrom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Forest Colstrom was last updated on March 1, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.