1. Home
  2. Directory
  3. Ohio
  4. London
  5. Counselor
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

TRISTAN SHAE FORTNER BS, RBT
NPI 1558977751
Counselor - Mental Health in London, OH

Active since September 22, 2020PECOS Enrolled
1375 US HIGHWAY 42 SE STE C, LONDON, OH 43140(614) 879-8067(614) 503-0899 Get Directions Write a Review

NPPES record last updated: July 23, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jul 23, 2026, Sep 22, 2020 (2 updates tracked since 2020).

About Tristan Shae Fortner Bs, Rbt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRISTAN SHAE FORTNER BS, RBT (NPI 1558977751) is an individual mental health provider in London, Ohio, licensed in Ohio (E.2607356) and active in the NPI registry since September 2020. He is enrolled in Medicare PECOS and maintains a secondary practice location in Hilliard.

NPPES Registry Identity

NPI1558977751
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameTRISTAN SHAE FORTNERCredential: BS, RBT
Location Address1375 US HIGHWAY 42 SE STE CLondon, OH 43140-9548
Mailing Address1375 Us Highway 42 Se, Ste CLondon, OH 43140-9548 · (614) 879-8067 · Fax (614) 503-0899
Phone(614) 879-8067
Fax(614) 503-0899
Sole ProprietorNo
Enumeration DateSeptember 22, 2020
Last NPPES UpdateJuly 23, 20262 updates tracked since enumeration
NPPES CertifiedJuly 23, 2026
✔ NPI 1558977751 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in OH · E.2607356
1375 US HIGHWAY 42 SE STE C, London, OH 43140
Open in Google Maps ↗

Secondary Practice Location 1

Location 15548 Hilliard Rome Office ParkHilliard, OH 43026-7286 · Phone (740) 845-8652 · Fax (614) 503-0899

Other Identifiers 1

Medicaid0040142OH

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tristan Shae Fortner Bs, Rbt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUSAN CONTE
Counselor (Mental Health)
1375 US HIGHWAY 42 SE STE C
LONDON, OH 43140
Madison County (740) 845-8652
AINSLEY TUCKER CT
Counselor (Mental Health)
1375 US HIGHWAY 42 SE STE C
LONDON, OH 43140
Madison County (740) 845-8652
ALEX WISLER
Counselor (Mental Health)
1375 US HIGHWAY 42 SE STE C
LONDON, OH 43140
Madison County (740) 845-8652
COUNSELING AND NEUROTHERAPY ASSOCIATES LLC
Community/Behavioral Health
1375 US HIGHWAY 42 SE STE C
LONDON, OH 43140
Madison County (614) 879-8067
JOSHUA HAMRICK
Counselor (Mental Health)
1375 US HIGHWAY 42 SE STE C
LONDON, OH 43140
Madison County (740) 845-8652
KATHLEEN ARTHUR
Counselor (Mental Health)
1375 US HIGHWAY 42 SE STE C
LONDON, OH 43140
Madison County (740) 845-8652
LESLEY ROBIN PUETT LISW-S
Social Worker (Clinical)
1375 US HIGHWAY 42 SE STE C
LONDON, OH 43140
Madison County (740) 845-8652
EMMA KENWORTHY LPC
Counselor (Mental Health)
1375 US HIGHWAY 42 SE STE C
LONDON, OH 43140
Madison County (740) 845-8652

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tristan Fortner's NPI number?

The NPI number for Tristan Fortner is 1558977751. It was assigned to this individual provider in the NPPES registry on September 22, 2020.

Where is Tristan Fortner located?

Tristan Fortner practices at 1375 Us Highway 42 SE Ste C, London, OH 43140. The listed phone number is (614) 879-8067.

What is Tristan Fortner's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Tristan Fortner enrolled in Medicare?

Yes. Tristan Fortner is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tristan Fortner was last updated on July 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 45 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.