MACKENZIE FORMAN CCC-SLP - NPI 1679821490 - Speech-Language Pathologist in Wake Forest, NC

Q: What is Mackenzie Forman's NPI number?

The NPI number for Mackenzie Forman is 1679821490. It was assigned to this individual provider in the NPPES registry on August 28, 2012.

Q: What is Mackenzie Forman's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Q: When was this NPI record last updated?

The NPPES record for Mackenzie Forman was last updated on March 25, 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.

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About Mackenzie Forman Ccc-slp NPPES

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

MACKENZIE FORMAN CCC-SLP (NPI 1679821490) is an individual speech-language pathologist provider in Wake Forest, North Carolina, licensed in North Carolina (9405) and active in the NPI registry since August 2012. She is a graduate of Other (2010).

NPPES Registry Identity

NPI1679821490

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameMACKENZIE FORMANCredential: CCC-SLP

Location Address1151 S MAIN ST APT 303Wake Forest, NC 27587-9660

Mailing Address5326 Glenmorgan LnRaleigh, NC 27616-8884

Phone(919) 556-1336

Fax(919) 500-7696

Sole ProprietorYes

Medical School CMSOtherGraduated 2010

Enumeration DateAugust 28, 2012

Last NPPES UpdateMarch 25, 2026

NPPES CertifiedMarch 25, 2026

✔ NPI 1679821490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers

Taxonomy Code235Z00000X

License✔ Licensed in NC · 9405

Definition

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

1151 S MAIN ST APT 303, Wake Forest, NC 27587

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mackenzie Forman Ccc-slp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9335629757

PECOS Enrollment IDI20260216001624

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.

LEGACY HEALTHCARE SERVICES INC

Physical Therapist

1151 S MAIN ST APT 303
WAKE FOREST, NC 27587

Wake County (919) 556-1336

ASHLEY CLARY

Occupational Therapy Assistant

1151 S MAIN ST APT 303
WAKE FOREST, NC 27587

Wake County (919) 556-1336

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 Mackenzie Forman's NPI number?

The NPI number for Mackenzie Forman is 1679821490. It was assigned to this individual provider in the NPPES registry on August 28, 2012.

Where is Mackenzie Forman located?

Mackenzie Forman practices at 1151 S Main St Apt 303, Wake Forest, NC 27587. The listed phone number is (919) 556-1336.

What is Mackenzie Forman's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Mackenzie Forman enrolled in Medicare?

Yes. Mackenzie Forman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mackenzie Forman accept?

Health plans from Blue Cross and Blue Shield of NC list Mackenzie Forman 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 Mackenzie Forman was last updated on March 25, 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.