Individual provider Active NPI

Rachel Marie Fortney, LSCSW, LAC

  • Clinical Social Worker
  • Wichita, KS
National Provider Identifier
1396318341
Registry record updated Jul 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
06715 Issued in KS
Practice address
1919 N Amidon Ave Ste 317
Wichita, KS 67203-2120
Phone
(316) 250-5055
NPI assigned
Jul 19, 2021
Last updated
Jul 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 109 KS
Clinical Social Worker 1041C0700X 06715 KS Primary

Addresses

Primary practice location

1919 N Amidon Ave Ste 317
Wichita, KS 67203-2120

Mailing address

1999 N Amidon Ave Ste 216
Wichita, KS 67203-2123
Phone (316) 250-5055

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20250306003081 KS Practitioner - Clinical Social Worker 7113448143 Reassigns benefits to 2 organizations
Practice locations: Wichita, KS

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Counseling Services, LLCGroup PAC ID 8123411709, 9 clinicians

Practice addresses (Care Compare)

2031 W 6TH Ave
Emporia, KS 66801-6464
Phone (620) 800-1010

2922 N Spring Meadow CT
Wichita, KS 67205-1659
Phone (316) 250-5007

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
06715KSMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Counseling Services, LLC Clinical CurrentSince Feb 26, 2025 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1626652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752883200000",
    "number": "1396318341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1999 N AMIDON AVE STE 216",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672032123",
            "telephone_number": "316-250-5055",
            "fax_number": "866-316-4467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 N AMIDON AVE STE 317",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672032120",
            "telephone_number": "316-250-5055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORTNEY",
        "first_name": "RACHEL",
        "middle_name": "MARIE",
        "credential": "LSCSW, LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-19",
        "last_updated": "2025-07-19",
        "certification_date": "2025-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KS",
            "license": "109",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "06715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.