Sarah Maria Fortin, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

17729 Issued in OH

Practice address

1015 E Broad St Ste 112
Columbus, OH 43205-1378

Phone

(614) 285-6562

Fax

(608) 387-8005

NPI assigned

Jul 16, 2015

Last updated

Jul 16, 2026By the provider in NPPES

Sex

Female

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

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dirty South Therapeutics LLCGroup PAC ID 4688020126, 3 clinicians

Moonshot Psychiatric Nurse Practitioner PCGroup PAC ID 9335589696, 79 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sfortin247655@direct.ochin.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dirty South Therapeutics LLC

  • Clinical Social Worker
  • Chillicothe, OH
  • NPI 1740052414
  Medicare reassignment Care Compare group NPD
• Mente Sana

  dba Hummingbird Health & Wellness

  • Psychiatric/Mental Health Nurse Practitioner
  • Columbus, OH
  • NPI 1023986593
  Medicare reassignment NPD Authorized official
• Moonshot Psychiatric Nurse Practitioner PC

  • Psychiatric/Mental Health Nurse Practitioner
  • Seattle, WA
  • NPI 1669158879

  OH

  Medicare reassignment Care Compare group NPD
• Dublin Springs Physician Group, LLC

  • Psychiatry Physician
  • Dublin, OH
  • NPI 1831501584

  Psychiatric/Mental Health

  Medicare reassignment NPD
• Equitas Health, Inc

  • Federally Qualified Health Center (FQHC)
  • Toledo, OH
  • NPI 1063239911
  NPD
• Equitas Health,Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Columbus, OH
  • NPI 1518227453
  NPD

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

{
    "created_epoch": "1437004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784160000000",
    "number": "1841674215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "868 FRANKLIN AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432051138",
            "telephone_number": "614-285-6562",
            "fax_number": "608-387-8005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 E BROAD ST STE 112",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432051378",
            "telephone_number": "614-285-6562",
            "fax_number": "608-387-8005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "67 E Water St",
            "address_purpose": "LOCATION",
            "city": "Chillicothe",
            "state": "OH",
            "postal_code": "456012535",
            "country_code": "US",
            "telephone_number": "614-304-1591",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORTIN",
        "first_name": "SARAH",
        "middle_name": "MARIA",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-16",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "17729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin Riley Fort, AA
• Katie Forte
• Starlena Forte
• Sandra J Forti, PH.D.
• Fortin Welding & MFT Inc (Fortin Iron Works)
• Lauren Fortini
• Maddison Marie Fortman, OD, MS
• Asia Marie Fortner, CDCA
• Shaniqua Fortner
• Casey Fortney

• Psychiatric/Mental Health Nurse Practitioner in Columbus, OH
• Providers in Columbus, OH by specialty
• Psychiatric/Mental Health Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2026; 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.

Verify at the official NPI Registry.