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JERE DEE FORMAN LPC-SUPERVISOR
NPI 1821435330
Counselor - Professional in Allen, TX

Active since May 24, 2013Opted out of Medicare · through Jan 30, 2028
1333 MCDERMOTT DRIVE, 200, ALLEN, TX 75013(469) 371-5766 Get Directions Write a Review

NPPES record last updated: May 24, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jere Dee Forman Lpc-supervisor NPPES

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

JERE DEE FORMAN LPC-SUPERVISOR (NPI 1821435330) is an individual professional provider in Allen, Texas, licensed in Texas (60025) and active in the NPI registry since May 2013. She has opted out of Medicare through January 30, 2028.

NPPES Registry Identity

NPI1821435330
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJERE DEE FORMANCredential: LPC-SUPERVISOR
Location Address1333 MCDERMOTT DRIVE, 200Allen, TX 75013-3089
Mailing Address1333 Mcdermott Drive, 200Allen, TX 75013-3089 · (469) 371-5766
Phone(469) 371-5766
Sole ProprietorYes
Enumeration DateMay 24, 2013
✔ NPI 1821435330 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in TX · 60025
1333 MCDERMOTT DRIVE, Allen, TX 75013
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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 Texas.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Jere Dee Forman Lpc-supervisor 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 January 30, 2024 through January 30, 2028.

Opt-Out Effective DateJanuary 30, 2024
Opt-Out In Effect ThroughJanuary 30, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Jere Forman's NPI number?

The NPI number for Jere Forman is 1821435330. It was assigned to this individual provider in the NPPES registry on May 24, 2013.

Where is Jere Forman located?

Jere Forman practices at 1333 Mcdermott Drive 200, Allen, TX 75013. The listed phone number is (469) 371-5766.

What is Jere Forman's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Jere Forman enrolled in Medicare?

No. Jere Forman has opted out of Medicare through January 30, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Jere Forman accept?

Health plans from Blue Cross and Blue Shield of Texas list Jere 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 Jere Forman was last updated on May 24, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.