Emily Bronson Forman
Mental Health Counselor · Middletown, CT
Emily Bronson Forman is a mental health counselor with a practice address in Middletown, Connecticut, and NPI 1104372879, issued on Aug 31, 2016. Check the license with the Connecticut board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Emily Bronson Forman
- Primary taxonomy
- Mental Health Counselor 101YM0800X
- Practice location
- 230 Main Street Ext, Middletown, CT 06457
- Phone
- (860) 343-5303
- Enumerated
- Aug 31, 2016
- Record last updated
- Aug 31, 2016 (not updated in 10 years: call before relying on the address or phone)
- Entity
- Type 1 · individual
Also registered at 230 Main Street Ext
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Debra Bailey, LPCProfessional Counselor1548657265
- Sean Forbes, MSWSocial Worker1144118027
- Laurel Guertin, LCSWClinical Social Worker1346388675
- Thomas Hennessey, LMSWSocial Worker1942198858
- Avrey Juntilla-Smith, LMFT-AMarriage & Family Therapist1366228306
- Julia MarshClinical Social Worker1659052249
Verify Emily Bronson Forman in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Connecticut board licenses this professionCheck the board
- 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
30 mental health counselor records list a practice address in Middletown
They are 30 of the 1,590 NPPES records with a practice address in Middletown, and 2,386 mental health counselor records in Connecticut. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 30 in Middletown → All 2,386 in Connecticut → Every provider in Middletown →
Other mental health counselor records in Connecticut
- Patricia Abad, M.A.Farmington, CT1467571984
- Sarah Abbott, LPC-AEnfield, CT1164279691
- Chananya Abraham, LPC, MSWaterbury, CT1710380019
- Alisa AbramsFairfield, CT1417806373
- Katharine Accardo, LPC, LMHCNorwalk, CT1003493909
- Diane Ack-MitchellTorrington, CT1114674512
- Kathryn AckerNew Britain, CT1487464962
- Pilar AcostaPlainville, CT1962267229
- Shim AdadevohManchester, CT1598994386
- Ashley Adamec, LCSWManchester, CT1083008106
Common questions
What is Emily Bronson Forman's NPI number?
Emily Bronson Forman's National Provider Identifier (NPI) is 1104372879, issued on Aug 31, 2016. An NPI identifies a provider in billing; it is not a license.
Where is Emily Bronson Forman located?
The NPPES record lists a practice address at 230 Main Street Ext, Middletown, CT, 06457. Phone: (860) 343-5303. Providers update this record themselves, so call before visiting.
How can I verify Emily Bronson Forman's license?
Search the Connecticut board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.