Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MS. MELISA FORMAN MA, LPC
NPI 1265761258
Counselor - Professional in Windermere, FL

Q: What is Melisa Forman's NPI number?

The NPI number for Melisa Forman is 1265761258. It was assigned to this individual provider in the NPPES registry on December 22, 2009.

Q: What is Melisa 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 Melisa Forman was last updated on October 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days 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 December 22, 2009

13907 IVORY GARDENIA AVE, WINDERMERE, FL 34786(203) 824-9874 Get Directions Write a Review

NPPES record last updated: October 20, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Ms. Melisa Forman Ma, Lpc NPPES

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

MS. MELISA FORMAN MA, LPC (NPI 1265761258) is an individual professional provider in Windermere, Florida, licensed in Pennsylvania (007920) and active in the NPI registry since December 2009.

NPPES Registry Identity

NPI1265761258

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameMS. MELISA FORMANCredential: MA, LPC

Location Address13907 IVORY GARDENIA AVEWindermere, FL 34786-3198

Mailing Address13907 Ivory Gardenia AveWindermere, FL 34786-3198 · (203) 824-9874

Phone(203) 824-9874

Sole ProprietorYes

Enumeration DateDecember 22, 2009

Last NPPES UpdateOctober 20, 2026

NPPES CertifiedOctober 20, 2026

✔ NPI 1265761258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

Licenses✔ Licensed in PA · 007920✔ Licensed in CT · 001617

13907 IVORY GARDENIA AVE, Windermere, FL 34786

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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 Melisa Forman's NPI number?

The NPI number for Melisa Forman is 1265761258. It was assigned to this individual provider in the NPPES registry on December 22, 2009.

Where is Melisa Forman located?

Melisa Forman practices at 13907 Ivory Gardenia Ave, Windermere, FL 34786. The listed phone number is (203) 824-9874.

What is Melisa Forman's specialty?

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

When was this NPI record last updated?

The NPPES record for Melisa Forman was last updated on October 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days 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.