Stacy Ann Fortner, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

7918 Issued in MT

Practice address

205 E Park Ave
Anaconda, MT 59711-2340

Phone

(406) 563-8117

Fax

(406) 563-5956

NPI assigned

Jul 8, 2016

Last updated

Jul 8, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Behavioral Health Solutions of MontanaGroup PAC ID 2961948609, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Behavioral Health Solutions of Montana

  • Community/Behavioral Health Agency
  • Billings, MT
  • NPI 1992556914
  Medicare reassignment Care Compare group NPD
• Aware Inc

  • Community/Behavioral Health Agency
  • Anaconda, MT
  • NPI 1427003862
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1467936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467936000000",
    "number": "1023460490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 E PARK AVE",
            "city": "ANACONDA",
            "state": "MT",
            "postal_code": "597112340",
            "telephone_number": "406-563-8117",
            "fax_number": "406-563-5956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 E PARK AVE",
            "city": "ANACONDA",
            "state": "MT",
            "postal_code": "597112340",
            "telephone_number": "406-563-8117",
            "fax_number": "406-563-5956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORTNER",
        "first_name": "STACY",
        "middle_name": "ANN",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-08",
        "last_updated": "2016-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MT",
            "license": "7918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheryl Anne Dunn, MS CCCSLP
• Elizabeth Eastman, CTRS
• Steven Richard Ecklund, M.D.
• Katilyn Marie Fleury, PT, DPT
• Lindsey Fode, RN
• Cynthia Ann Fullmer, LMT
• Amanda Lynn Gange, PT, DPT
• Hailey Giacomini
• Jamie Beth Goldberg, ACNP/PMHNP
• Jeffrey Edward Goldberg, PHARMD

• Professional Counselor in Anaconda, MT
• Providers in Anaconda, MT by specialty
• Professional Counselor in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.