Individual provider Active NPI

Sheri Fortin, LMHC

  • Mental Health Counselor
  • Albany, NY
National Provider Identifier
1104348572
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
007905-1 Issued in NY
Practice address
160 N Main Ave
Albany, NY 12206-1821
Phone
(518) 437-6602
NPI assigned
Jul 7, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 007905-1 NY Primary

Addresses

Primary practice location

160 N Main Ave
Albany, NY 12206-1821

Mailing address

160 N Main Ave
Albany, NY 12206-1821
Phone (518) 437-6602

Other practice location 1

160 North Main Ave
Albany, NY 12206
Phone (518) 437-6602

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20240215001834 NY Practitioner - Mental Health Counselor 6608210893 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007905-1NYMDMental Health Counselor
007905NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Saratoga Center for the Family Mental Health CurrentSince Jan 6, 2024 Accepting new patients
St. Anne Institute PastSince Jan 31, 2018 Accepting new patients

Locations

359 Ballston Ave
Saratoga Springs, NY 12866
Phone (518) 583-9262

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1499385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1104348572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 N MAIN AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122061821",
            "telephone_number": "518-437-6602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 N MAIN AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122061821",
            "telephone_number": "518-437-6602"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "160 North Main Ave",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "12206",
            "country_code": "US",
            "telephone_number": "518-437-6602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORTIN",
        "first_name": "SHERI",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-07",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "007905-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.