Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Samantha Forman

Individual provider Mental Health Counselor · NPI 1518601392

Samantha Forman is a Mental Health Counselor in Oakland, California. Practices as a sole proprietor. Licensed in California and Colorado.

Licensed in
CA, CO
In the registry since
2022
Specialties on file
4
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Practice location Address checks out

166 Santa Clara Ave Ste 205
Oakland, CA 94610-1323
Phone: (510) 601-1929
Fax: (510) 660-1194
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 139159 (CA)
Mental Health Counselor Taxonomy 101YM0800X · Licence 0020808 (CO)
Marriage & Family Therapist Taxonomy 106H00000X · Licence 0014462 (CO)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1518601392
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 26, 2022
Last updated in NPPESMay 10, 2023
Certification dateMay 10, 2023

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