Provider Demographics
NPI:1891853024
Name:FORTE, ROBERT AUGUST (LPCC)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:AUGUST
Last Name:FORTE
Suffix:
Gender:M
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7189 FLAT ROCK DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43235-2003
Mailing Address - Country:US
Mailing Address - Phone:614-798-9033
Mailing Address - Fax:614-885-2453
Practice Address - Street 1:885 HIGH ST
Practice Address - Street 2:SUITE 106
Practice Address - City:WORTHINGTON
Practice Address - State:OH
Practice Address - Zip Code:43085-4158
Practice Address - Country:US
Practice Address - Phone:614-885-2411
Practice Address - Fax:614-885-2453
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE756101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH285221OtherMHN PROVIDER NUMBER
OH000000370757OtherANTHEM PROVIDER NUMBER
OH231187OtherCOMPSYCH PROVIDER NUMBER
OH0007914229OtherAETNA PROVIDER NUMBER