Active NPI
Jennifer Ann Fort, LPC, LMFT
- Professional Counselor
- Victoria, TX
National Provider Identifier
1770637704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 19184
- Practice address
- 608 Newhaven St
Victoria, TX 77904-2558 - Phone
- (361) 575-2796
- Fax
- (361) 575-2796
- NPI assigned
- Jan 23, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 19184 | TX | Primary |
| Marriage & Family Therapist | 106H00000X | 5124 | TX |
Addresses
Primary practice location
608 Newhaven St
Victoria, TX 77904-2558
Mailing address
608 Newhaven St
Victoria, TX 77904-2558
Phone (361) 575-2796
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6642LC | Other | TX | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5124 | TX | MD | Marriage & Family Therapist |
| 19184 | TX | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1770637704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "608 NEWHAVEN ST",
"city": "VICTORIA",
"state": "TX",
"postal_code": "779042558",
"telephone_number": "361-575-2796",
"fax_number": "361-575-2796"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "608 NEWHAVEN ST",
"city": "VICTORIA",
"state": "TX",
"postal_code": "779042558",
"telephone_number": "361-575-2796",
"fax_number": "361-575-2796"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORT",
"first_name": "JENNIFER",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "LPC, LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-23",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "19184",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "TX",
"license": "5124",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "6642LC",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Victoria, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.