Seana Todd Fortune, PCC LSW LCDCIII

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

E0008398 Issued in OH

Practice address

152 N Broadway St
Suite 200
New Philadelphia, OH 44663-2665

Phone

(330) 364-9360

NPI assigned

Jun 25, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Ohioguidestone

  • Developmental - Behavioral Pediatrics Physician
  • Berea, OH
  • NPI 1609123728
  Medicare reassignment NPD
• Ohioguidestone

  • Community/Behavioral Health Agency
  • Berea, OH
  • NPI 1174680557
  NPD
• Ohioguidestone

  • Family Medicine Physician
  • Lorain, OH
  • NPI 1487452603
  NPD
• Chrysalis Counseling Center, Inc.

  • Marriage & Family Therapist
  • New Philadelphia, OH
  • NPI 1699883355
  NPD (past)

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

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214352000000",
    "number": "1508028275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 NORTH BROADWAY AVE",
            "address_2": "SUITE 200",
            "city": "NEW PHILADELPHIA",
            "state": "OH",
            "postal_code": "446632665",
            "telephone_number": "330-364-9360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 N BROADWAY ST",
            "address_2": "SUITE 200",
            "city": "NEW PHILADELPHIA",
            "state": "OH",
            "postal_code": "446632665",
            "telephone_number": "330-364-9360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORTUNE",
        "first_name": "SEANA",
        "middle_name": "TODD",
        "name_prefix": "Mrs.",
        "credential": "PCC LSW LCDCIII",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-25",
        "last_updated": "2008-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "001266",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E0008398",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S19914",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Paul Fitz
• Amanda Fontana
• Gerald D Ford, LDO
• Matthew D Ford, LDO
• Olyvia Danielle Ford, PA
• April Lynn Foster, QMHS 3YRS CMS AC
• Susan E Fouts, QMHS-BA
• Heather Kaye Gallentine
• Rebecca Lynn Gambs, O.D.
• Carrie Jean Gammeter, BSN, RN

• Mental Health Counselor in New Philadelphia, OH
• Providers in New Philadelphia, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.