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MARK FORSTROM LMHC
NPI 1649086778
Counselor - Mental Health in Cedar Rapids, IA

Active since December 04, 2024PECOS Enrolled
1642 42ND ST NE, CEDAR RAPIDS, IA 52402(319) 377-2161 Get Directions Write a Review

NPPES record last updated: December 4, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mark Forstrom Lmhc NPPES

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

MARK FORSTROM LMHC (NPI 1649086778) is an individual mental health provider in Cedar Rapids, Iowa, licensed in Iowa (105658) and active in the NPI registry since December 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649086778
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMARK FORSTROMCredential: LMHC
Location Address1642 42ND ST NECedar Rapids, IA 52402-3076
Mailing Address6704 Stonybrook Ln NeCedar Rapids, IA 52402-5942 · (319) 270-2880
Phone(319) 377-2161
Sole ProprietorNo
Enumeration DateDecember 4, 2024
NPPES CertifiedDecember 4, 2024
✔ NPI 1649086778 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in IA · 105658
1642 42ND ST NE, Cedar Rapids, IA 52402
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mark Forstrom Lmhc 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 Mark Forstrom reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cedar Rapids Keys To Living
1.8 mi
Community/Behavioral Health
5250 N PARK PL NE, SUITE 209
Cedar Rapids, IA 52402
  • Reassigned Medicare billing, Iowa enrollment
  • 10 clinicians in this Medicare group
NPI 1144404591 (319) 377-2161

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

Other Providers at the Same Location NPPES 3

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

MRS. TERRY JO CARLSON RN, CADC, LMHC
Counselor (Mental Health)
1642 42ND ST NE
CEDAR RAPIDS, IA 52402
Linn County (319) 377-2161
TAYLOR PRICE LMHC
Counselor (Mental Health)
1642 42ND ST NE
CEDAR RAPIDS, IA 52402
Linn County (319) 366-2161
KELI BEA HAGEN
Social Worker (Clinical)
1642 42ND ST NE
CEDAR RAPIDS, IA 52402
Linn County (319) 377-2161

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 Mark Forstrom's NPI number?

The NPI number for Mark Forstrom is 1649086778. It was assigned to this individual provider in the NPPES registry on December 4, 2024.

Where is Mark Forstrom located?

Mark Forstrom practices at 1642 42nd St NE, Cedar Rapids, IA 52402. The listed phone number is (319) 377-2161.

What is Mark Forstrom's specialty?

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

Is Mark Forstrom enrolled in Medicare?

Yes. Mark Forstrom is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mark Forstrom's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Forstrom reassigns Medicare benefits to Cedar Rapids Keys To Living (Cedar Rapids, IA). 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 Mark Forstrom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mark Forstrom accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Oscar Health and 3 other insurers list Mark Forstrom 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 Mark Forstrom was last updated on December 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.