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

DOMINIQUE FORSMAN
NPI 1972321180
Counselor - Mental Health in Churchton, MD

Active since September 27, 2024
5419 DEALE CHURCHTON RD STE 104, CHURCHTON, MD 20733(410) 541-6686 Get Directions Write a Review

NPPES record last updated: September 24, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Sep 24, 2026, Sep 27, 2024 (2 updates tracked since 2024).

About Dominique Forsman NPPES

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

DOMINIQUE FORSMAN (NPI 1972321180) is an individual mental health provider in Churchton, Maryland, licensed in Maryland (LC18571) and active in the NPI registry since September 2024.

NPPES Registry Identity

NPI1972321180
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameDOMINIQUE FORSMAN
Location Address5419 DEALE CHURCHTON RD STE 104Churchton, MD 20733-2408
Mailing Address1613 Virginia StAnnapolis, MD 21401-4029 · (240) 291-1436
Phone(410) 541-6686
Sole ProprietorYes
Enumeration DateSeptember 27, 2024
Last NPPES UpdateSeptember 24, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 24, 2026
✔ NPI 1972321180 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 MD · LC18571
Also ListedCounselorTaxonomy 101Y00000X · License LC18571 (MD)
5419 DEALE CHURCHTON RD STE 104, Churchton, MD 20733
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Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHAKIRA GARRISON
Marriage & Family Therapist
5419 DEALE CHURCHTON RD STE 104
CHURCHTON, MD 20733
Anne Arundel County (410) 541-6686
NATHAN FINCHER
Counselor (Mental Health)
5419 DEALE CHURCHTON RD STE 104
CHURCHTON, MD 20733
Anne Arundel County (410) 541-6686
SOCO COUNSELING, LLC
Counselor (Professional)
5419 DEALE CHURCHTON RD STE 104
CHURCHTON, MD 20733
Anne Arundel County (410) 541-6686
BODY & SOUL ACUPUNCTURE LLC
Acupuncturist
5419 DEALE CHURCHTON RD STE 104
CHURCHTON, MD 20733
Anne Arundel County (860) 881-7449
ASHLEY OURSLER LCPC
Counselor (Professional)
5419 DEALE CHURCHTON RD STE 104
CHURCHTON, MD 20733
Anne Arundel County (410) 541-6686
SOCO COUNSELING, LLC
Counselor (Professional)
5419 DEALE CHURCHTON RD STE 104
CHURCHTON, MD 20733
Anne Arundel County (410) 541-6686

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 Dominique Forsman's NPI number?

The NPI number for Dominique Forsman is 1972321180. It was assigned to this individual provider in the NPPES registry on September 27, 2024.

Where is Dominique Forsman located?

Dominique Forsman practices at 5419 Deale Churchton Rd Ste 104, Churchton, MD 20733. The listed phone number is (410) 541-6686.

What is Dominique Forsman'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 Dominique Forsman was last updated on September 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 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.