Emily Jeanne Fornwalt, LCMHC-S - Counselor in Johnson City, TN

Emily Jeanne Fornwalt, LCMHC-S is a Counselor - Mental Health based in Johnson City, Tennessee. Emily Jeanne Fornwalt is licensed to practice in North Carolina (license number S6459) and her current practice location is 614 W Pine St, Johnson City, Tennessee. She can be reached at her office (for appointments etc.) via phone at (423) 281-4089.

NPI number for Emily Jeanne Fornwalt is 1083745434 and her current mailing address is 614 W Pine St, Johnson City, Tennessee. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1083745434.

Contact Information

Emily Jeanne Fornwalt, LCMHC-S
614 W Pine St,
Johnson City, TN 37604-6608
(423) 281-4089
Not Available

Healthcare Provider's Profile

Full NameEmily Jeanne Fornwalt
GenderFemale
SpecialityCounselor - Mental Health
Location614 W Pine St, Johnson City, Tennessee
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1083745434
  • Provider Enumeration Date: 03/08/2007
  • Last Update Date: 05/01/2024

Medical Identifiers

Medical identifiers for Emily Jeanne Fornwalt such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083745434NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health S6459 (North Carolina)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Emily Jeanne Fornwalt is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Emily Jeanne Fornwalt, LCMHC-S
614 W Pine St,
Johnson City, TN 37604-6608

Ph: (423) 281-4089
Emily Jeanne Fornwalt, LCMHC-S
614 W Pine St,
Johnson City, TN 37604-6608

Ph: (423) 281-4089

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› Verified 2 days ago


Counselor in Johnson City, TN

Mrs. Vicki Marie Britton, B.S
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 3915 Bristol Hwy, Suite 202, Johnson City, TN 37601
Phone: 423-283-6556    Fax: 423-283-6550
Hayley Christian Henderson, MA
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 109 West Watauga Avenue, Watauga C&y, Johnson City, TN 37604
Phone: 423-232-2600    Fax: 423-467-3644
Matthew M Midkiff, LPC, MHSP
Counselor
Medicare: Medicare Enrolled
Practice Location: 109 W Watauga Ave, Johnson City, TN 37604
Phone: 423-232-2600    Fax: 423-467-3644
Michael Arthur Benoit,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 3915 Bristol Hwy, Suite 202, Johnson City, TN 37601
Phone: 423-283-6500    Fax: 423-283-6550
Dr. Nicholas Porta, PSYD
Counselor
Medicare: Medicare Enrolled
Practice Location: 2514 1/2 Wesley St Ste 2, Johnson City, TN 37601
Phone: 423-529-0385    Fax: 423-414-2699
Jessica Cabe, LPC-MHSP
Counselor
Medicare: Medicare Enrolled
Practice Location: 3114 Browns Mill Rd, Johnson City, TN 37604
Phone: 423-631-0432    
Pamela Kuykendall, LPC/MHSP (TEMP)
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 1907 N Roan St Ste 203, Johnson City, TN 37601
Phone: 423-427-6224    

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