Hannah Fortner

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LMFT140460 Issued in CA

Practice address

278 N Santa Cruz Ave
Los Gatos, CA 95030-7228

Phone

(669) 256-2260

NPI assigned

Oct 2, 2019

Last updated

Mar 5, 2025By 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

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.

Opted out of Medicare

Yes, effective Feb 20, 2025 through Feb 20, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Wellspring Psychology PC

  • Clinical Psychologist
  • Los Gatos, CA
  • NPI 1710394911
  NPD
• Wellspring Psychology PC

  • Clinical Psychologist
  • Los Gatos, CA
  • NPI 1841655545
  NPD

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

{
    "created_epoch": "1569974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1205477031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 24091",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951544091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "278 N SANTA CRUZ AVE",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950307228",
            "telephone_number": "669-256-2260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORTNER",
        "first_name": "HANNAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-02",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT140460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justine Strolis Forbes, MD
• Kate Rachelle Ford, PA
• Forefront Dermatology - Pacific, P.C. (Kalia Dermatology & Laser Center, A Forefront Dermatology Practice)
• Forrest Health and Chiropractors
• Hailey Vananh Fortener
• Cody Fowler, D.C.
• Sikeza Chandra Fowlks, APCC
• Kate Kimberly Fox, D.C.
• Nazanine Fox, AMFT 164870
• Jeri Frakes

• Marriage & Family Therapist in Los Gatos, CA
• Providers in Los Gatos, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2025; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.