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MRS. DANIELLE LAUREN FORMA
NPI 1407323512
Counselor - Mental Health in Trumbull, CT

Active since October 26, 2018
19 TOPAZ LN, TRUMBULL, CT 06611(203) 610-0754 Get Directions Write a Review

NPPES record last updated: May 16, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 16, 2021, Oct 26, 2018 (2 updates tracked since 2018).

About Mrs. Danielle Lauren Forma NPPES

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

MRS. DANIELLE LAUREN FORMA (NPI 1407323512) is an individual mental health provider in Trumbull, Connecticut, licensed in Connecticut (4881) and active in the NPI registry since October 2018.

NPPES Registry Identity

NPI1407323512
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. DANIELLE LAUREN FORMA
Location Address19 TOPAZ LNTrumbull, CT 06611-3211
Mailing Address19 Topaz LnTrumbull, CT 06611-3211 · (032) 610-0754
Phone(203) 610-0754
Sole ProprietorNo
Enumeration DateOctober 26, 2018
Last NPPES UpdateMay 16, 20212 updates tracked since enumeration
NPPES CertifiedMay 16, 2021
✔ NPI 1407323512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in CT · 4881
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
19 TOPAZ LN, Trumbull, CT 06611
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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 Danielle Forma's NPI number?

The NPI number for Danielle Forma is 1407323512. It was assigned to this individual provider in the NPPES registry on October 26, 2018.

Where is Danielle Forma located?

Danielle Forma practices at 19 Topaz Ln, Trumbull, CT 06611. The listed phone number is (203) 610-0754.

What is Danielle Forma's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Danielle Forma was last updated on May 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.