JILLIAN LOUISE FORMAN
NPI 1073169587
Counselor - Professional in Andover, NY

Q: What is Jillian Forman's NPI number?

The NPI number for Jillian Forman is 1073169587. It was assigned to this individual provider in the NPPES registry on August 12, 2019.

Q: What is Jillian Forman's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Jillian Forman was last updated on August 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.

Active since August 12, 2019

2 SOUTH MAIN ST., SUITE 3, ANDOVER, NY 14806(607) 281-8815 Get Directions Write a Review

NPPES record last updated: August 12, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jillian Louise Forman NPPES

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

JILLIAN LOUISE FORMAN (NPI 1073169587) is an individual professional provider in Andover, New York, licensed in New York (009608-01) and active in the NPI registry since August 2019.

NPPES Registry Identity

NPI1073169587

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameJILLIAN LOUISE FORMAN

Location Address2 SOUTH MAIN ST., SUITE 3Andover, NY 14806

Mailing Address67 W University StAlfred, NY 14802-1136 · (607) 281-8815

Phone(607) 281-8815

Sole ProprietorYes

Enumeration DateAugust 12, 2019

✔ NPI 1073169587 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in NY · 009608-01

2 SOUTH MAIN ST., SUITE 3, Andover, NY 14806

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

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 Jillian Forman's NPI number?

The NPI number for Jillian Forman is 1073169587. It was assigned to this individual provider in the NPPES registry on August 12, 2019.

Where is Jillian Forman located?

Jillian Forman practices at 2 South Main St., Suite 3, Andover, NY 14806. The listed phone number is (607) 281-8815.

What is Jillian Forman's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

What insurance does Jillian Forman accept?

Health plans from Providence Health Plan list Jillian Forman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jillian Forman was last updated on August 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.