KELLSEY REBECCA FOREST LICSW
NPI 1639671167
Counselor - Mental Health in Boston, MA

Q: What is Kellsey Forest's NPI number?

The NPI number for Kellsey Forest is 1639671167. It was assigned to this individual provider in the NPPES registry on February 28, 2018.

Q: What is Kellsey Forest's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kellsey Forest was last updated on March 30, 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.

Active since February 28, 2018PECOS Enrolled

68 HARRISON AVE STE 605, BOSTON, MA 02111(617) 506-3628 Get Directions Write a Review

NPPES record last updated: March 30, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 30, 2026, Feb 28, 2018 (2 updates tracked since 2018).

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About Kellsey Rebecca Forest Licsw NPPES

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

KELLSEY REBECCA FOREST LICSW (NPI 1639671167) is an individual mental health provider in Boston, Massachusetts and active in the NPI registry since February 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1639671167

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameKELLSEY REBECCA FORESTCredential: LICSW

Location Address68 HARRISON AVE STE 605Boston, MA 02111-1929

Mailing Address68 Harrison Ave Ste 605Boston, MA 02111-1929 · (617) 506-3628

Phone(617) 506-3628

Sole ProprietorYes

Medical School CMSOtherGraduated 2018

Enumeration DateFebruary 28, 2018

Last NPPES UpdateMarch 30, 20262 updates tracked since enumeration

NPPES CertifiedMarch 30, 2026

✔ NPI 1639671167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

68 HARRISON AVE STE 605, Boston, MA 02111

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kellsey Rebecca Forest Licsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4789077371

PECOS Enrollment IDI20220202002824

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 20

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

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