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MS. ERICA CARMAN FORMWAY LMFT
NPI 1043607286
Marriage & Family Therapist in Santa Rosa, CA

Active since April 24, 2015Opted out of Medicare · through Jan 1, 2028
920 MENDOCINO AVE STE 8, SANTA ROSA, CA 95401(707) 595-0244 Get Directions Write a Review

NPPES record last updated: September 17, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 17, 2024, Sep 13, 2024, Jul 18, 2018 (3 updates tracked since 2018).

About Ms. Erica Carman Formway Lmft NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. ERICA CARMAN FORMWAY LMFT (NPI 1043607286) is an individual marriage & family therapist in Santa Rosa, California, licensed in California (114590) and active in the NPI registry since April 2015. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1043607286
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMS. ERICA CARMAN FORMWAYCredential: LMFT
Location Address920 MENDOCINO AVE STE 8Santa Rosa, CA 95401-4860
Mailing Address920 Mendocino Ave Ste 8Santa Rosa, CA 95401-4860 · (707) 595-0244
Phone(707) 595-0244
Sole ProprietorNo
Enumeration DateApril 24, 2015
Last NPPES UpdateSeptember 17, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2024
✔ NPI 1043607286 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · 114590
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
920 MENDOCINO AVE STE 8, Santa Rosa, CA 95401
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Ms. Erica Carman Formway Lmft has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Erica Formway's NPI number?

The NPI number for Erica Formway is 1043607286. It was assigned to this individual provider in the NPPES registry on April 24, 2015.

Where is Erica Formway located?

Erica Formway practices at 920 Mendocino Ave Ste 8, Santa Rosa, CA 95401. The listed phone number is (707) 595-0244.

What is Erica Formway's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Erica Formway enrolled in Medicare?

No. Erica Formway has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Erica Formway was last updated on September 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.