Active NPI
Daphne Fortner
- Mental Health Counselor
- Meridian, MS
National Provider Identifier
1760523567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 1415 College Drive
Meridian, MS 39307-5345 - Phone
- (601) 483-4821
- Fax
- (601) 485-8727
- NPI assigned
- Feb 12, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
1415 College Drive
Meridian, MS 39307-5345
Mailing address
P.O. Box 2868
Meridian, MS 39302-2801
Phone (601) 483-4821
Other names 1
- Daphne Amanda Jones
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2003
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1415 College Dr
Meridian, MS 39307-5345
PO Box
Suite 2868
Meridian, MS 39302
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730332800000",
"number": "1760523567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 2868",
"city": "MERIDIAN",
"state": "MS",
"postal_code": "393022801",
"telephone_number": "601-483-4821",
"fax_number": "601-485-8727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1415 COLLEGE DRIVE",
"city": "MERIDIAN",
"state": "MS",
"postal_code": "393075345",
"telephone_number": "601-483-4821",
"fax_number": "601-485-8727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORTNER",
"first_name": "DAPHNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-12",
"last_updated": "2024-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DAPHNE",
"last_name": "JONES",
"middle_name": "AMANDA",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Meridian, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.