Individual provider Active NPI

James Albert Fortune Jr., LPC

  • Professional Counselor
  • Ann Arbor, MI
National Provider Identifier
1134859549
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401013073 Issued in MI
Practice address
2200 Green Rd Ste N
Ann Arbor, MI 48105-2948
Phone
(248) 573-7417
NPI assigned
Jun 16, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6401013073 MI Primary

Addresses

Primary practice location

2200 Green Rd Ste N
Ann Arbor, MI 48105-2948

Mailing address

2200 Green Rd Ste N
Ann Arbor, MI 48105-2948
Phone (248) 573-7417

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

127 N Lafayette St
South Lyon, MI 48178-1210

343 River Oaks Dr
Milford, MI 48381-1037

43732 Belleauwood CT
Canton, MI 48188-1709

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lyon Counseling Center CurrentSince Aug 5, 2026 Accepting new patients
Laura Jennings, LMSW, PLLC CurrentSince Jun 21, 2022 Accepting new patients

Locations

2200 Green Rd
Ste N
Ann Arbor, MI 48105
Phone (248) 573-7417

7264 N Sheldon Rd
Canton, MI 48187
Phone (734) 787-5782

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": "1655337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785974400000",
    "number": "1134859549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 GREEN RD STE N",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481052948",
            "telephone_number": "248-573-7417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 GREEN RD STE N",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481052948",
            "telephone_number": "248-573-7417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORTUNE",
        "first_name": "JAMES",
        "middle_name": "ALBERT",
        "name_suffix": "Jr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-16",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401013073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.