James Fortin

Primary specialty

CounselorTaxonomy code 101Y00000X

License

TRAINEE Issued in CA

Practice address

1111 Garden St
Santa Barbara, CA 93101-1459

Phone

(805) 730-7575

NPI assigned

Apr 18, 2017

Sex

Male

Sole proprietor

Yes

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

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 and National Provider Directory roles.

• Council on Alcoholism and Drug Abuse

  • Children's Substance Abuse Rehabilitation Facility
  • Santa Barbara, CA
  • NPI 1770610594
  NPD (past)

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

{
    "created_epoch": "1492473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492473600000",
    "number": "1649704594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 E CANON PERDIDO ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931012242",
            "telephone_number": "805-963-1433",
            "fax_number": "805-963-4099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 GARDEN ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931011459",
            "telephone_number": "805-730-7575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORTIN",
        "first_name": "JAMES",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-18",
        "last_updated": "2017-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CA",
            "license": "TRAINEE",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sue M Ford, PSYD
• Teddie Foreman
• Tara Kristy Forseth, RN
• Shirley Forsyth-Giallo
• Alison Ann Forsyth
• James Alexander Fortman, PSYD
• Jay Fortman, PH.D., MFT
• Erin Foster, DPT
• Lael Elizabeth Foster, PH.D.
• Madeleine Iverson Foster

• Counselor in Santa Barbara, CA
• Providers in Santa Barbara, CA by specialty
• Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.