Sara Catherine Fortin, M.S.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

0717001229 Issued in VA

Practice address

221 Luna Ave
Apt. 201
Virginia Beach, VA 23462

Phone

(760) 717-8739

NPI assigned

Jul 16, 2008

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

Opted out of Medicare

Yes, effective Jun 10, 2024 through Jun 10, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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 and National Provider Directory roles.

• Sara Fortin, LLC

  • Marriage & Family Therapist
  • Virginia Beach, VA
  • NPI 1134871296
  NPD

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

{
    "created_epoch": "1216166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443571200000",
    "number": "1275797490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 LUNA AVE",
            "address_2": "APT. 201",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234624590",
            "telephone_number": "760-717-8739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 LUNA AVE",
            "address_2": "APT. 201",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "23462",
            "telephone_number": "760-717-8739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORTIN",
        "first_name": "SARA",
        "middle_name": "CATHERINE",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-16",
        "last_updated": "2015-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "VA",
            "license": "0717001229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Anthony Forte III, PHARM D., RPH
• Rachel Elizabeth Forte, RD
• Cassandra Forti, WHNP
• Joseph A Forti, RPH
• Angelina Marie Fortin, LPTA, ATC
• Megan Fortner
• Jennifer Brooke Fortune, P.A.
• Courtney Fosque, MSW
• Adriana Foss
• Andra Schmidt Foster, D.C.

• Marriage & Family Therapist in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Marriage & Family Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.