NPPES file of Aug 9, 2026

Justin David Forman, B.S.

Mental Health Counselor · Santa Rosa, CA

Justin David Forman, B.S. is a mental health counselor with a practice address in Santa Rosa, California, and NPI 1477700938, issued on Aug 26, 2008. Check the license with the California board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1477700938
Name
Justin David Forman
Credential
B.S.
Primary taxonomy
Mental Health Counselor 101YM0800X
Practice location
320 10TH St, Santa Rosa, CA 95401
Phone
(707) 536-7804
Enumerated
Aug 26, 2008
Record last updated
Mar 14, 2018 (not updated in 8 years: call before relying on the address or phone)
Medicare enrollment
Enrolled (PECOS I20160317002153); accepts Medicare assignment
Telehealth
Offers telehealth (CMS)
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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8 nearest mental health counselor records → All 28,617 in California → Look up another NPI →

Also registered at 320 10TH St

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Lauren BarkMental Health Counselor1023799467
  2. Hannah ButtonMarriage & Family Therapist1972365252
  3. Anna CarrStudent in an Organized Health Care Education/Training Program1013893072
  4. Patrick Ennis, LCSWClinical Social Worker1457506305
  5. Nathan HarperMarriage & Family Therapist1295584357
  6. Thomas HoldenMarriage & Family Therapist1740665025

Verify Justin David Forman in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich California board licenses this professionCheck the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
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Justin David Forman among 28,617 mental health counselor records in California

Justin David Forman, B.S. is one of 28,617 mental health counselor records with a practice address in California. 1% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2008, is newer than 19% of them.

  • NPI issued2008 · 19% of these records are older, 75% newer
  • In a Medicare fileNo · 1% of these records are
  • In the CMS Doctors and Clinicians fileYes · 3% of these records are
  • Graduated2013 · median 2015 among the 722 with a school on file
  • Record last updated2018 · 71% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 101YM0800X and a California practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

272 mental health counselor records list a practice address in Santa Rosa

They are 272 of the 6,884 NPPES records with a practice address in Santa Rosa, and 28,617 mental health counselor records in California. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.

All 28,617 in California → Every provider in Santa Rosa → Mental Health Counselor nationwide →

The 8 mental health counselor records with the nearest ZIP codes

  1. Claire Arnesen, M.A., MFTSanta Rosa, CA 954011629002126
  2. Jeanne BaillySanta Rosa, CA 954011831536903
  3. Bethany BilyeuSanta Rosa, CA 954011023361730
  4. Susan Briggs, LMFTSanta Rosa, CA 954011174557847
  5. Eric Cecil, MHRSSanta Rosa, CA 954011487948840
  6. Gail Gonick-Hallows, M.A.Santa Rosa, CA 954011982982138
  7. Janet HackSanta Rosa, CA 954011497970156
  8. Kelly Hernandez, MASanta Rosa, CA 954011285963363

Common questions

What is Justin David Forman, B.S.'s NPI number?

Justin David Forman, B.S.'s National Provider Identifier (NPI) is 1477700938, issued on Aug 26, 2008. An NPI identifies a provider in billing; it is not a license.

Where is Justin David Forman, B.S. located?

The NPPES record lists a practice address at 320 10TH St, Santa Rosa, CA, 95401. Phone: (707) 536-7804. Providers update this record themselves, so call before visiting.

How can I verify Justin David Forman, B.S.'s license?

Search the California 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.

Written with AI tools from the named public files; every figure is computed from those files (how it is made).

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.