Justin Forman, B.S.
NPI 1477700938 · Mental Health Counselor · Santa Rosa, CA
Enrolled with Medicare as Practitioner - Clinical Psychologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Justin Forman, B.S. is a Mental Health Counselor provider in Santa Rosa, CA (NPI 1477700938).
Provider details
- NPI number
- 1477700938
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- B.S.
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2008-08-26
- Last updated
- 2018-03-14
Frequently asked questions
- What is Justin Forman's NPI number?
- Justin Forman's National Provider Identifier (NPI) is 1477700938, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Justin Forman's specialty?
- Justin Forman is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Justin Forman located?
- Justin Forman's practice location on file with NPPES is 320 10th St, Santa Rosa, CA 95401-5291.
- What is Justin Forman's phone number?
- The practice phone number listed in the NPPES registry for Justin Forman is (707) 536-7804.
- Does Justin Forman accept Medicare?
- Justin Forman is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Justin Forman's NPI active?
- Yes — Justin Forman's NPI (1477700938) is active in the NPPES registry as of the last update on 2018-03-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.