Individual provider Active NPI

John Fortes III, LADC I

  • Addiction (Substance Use Disorder) Counselor
  • New Bedford, MA
National Provider Identifier
1770715211
Registry record updated Jul 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
10145 Issued in MA
Practice address
106 Spring St Unit 209
New Bedford, MA 02740
Phone
(508) 991-3105
NPI assigned
Aug 18, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 10145 MA
Addiction (Substance Use Disorder) Counselor 101YA0400X 10145 MA Primary

Addresses

Primary practice location

106 Spring St Unit 209
New Bedford, MA 02740

Mailing address

106 Spring St Unit 209
New Bedford, MA 02740-5951
Phone (508) 991-3105

Other practice location 1

497 Belleville Ave
New Bedford, MA 02746-2420
Phone (508) 994-0885

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

LicenseStateTypeSpecialty
10145MAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
High Point Treatment Center Inc. Counselor Past Accepting new patients
Burns & Fortes Consulting, LLC Addiction (Substance Use Disorder) Past 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1250553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531267200000",
    "number": "1770715211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 SPRING ST UNIT 209",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027405951",
            "telephone_number": "508-991-3105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 SPRING ST UNIT 209",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "02740",
            "telephone_number": "508-991-3105"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "497 Belleville Ave",
            "address_purpose": "LOCATION",
            "city": "New Bedford",
            "state": "MA",
            "postal_code": "027462420",
            "country_code": "US",
            "telephone_number": "508-994-0885",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORTES",
        "first_name": "JOHN",
        "name_suffix": "III",
        "credential": "LADC I",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-08-18",
        "last_updated": "2018-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MA",
            "license": "10145",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MA",
            "license": "10145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bedford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2018; 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.