TONY JOE FORTIN LCMHCS, LCAS, CCS
NPI 1689742462
Counselor - Mental Health in Greensboro, NC

Q: What is Tony Fortin's NPI number?

The NPI number for Tony Fortin is 1689742462. It was assigned to this individual provider in the NPPES registry on December 1, 2006.

Q: What is Tony Fortin's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Tony Fortin was last updated on December 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.

Active since December 01, 2006

1203 MAPLE ST, GREENSBORO, NC 27405(336) 641-3934(336) 641-6193 Get Directions Write a Review

NPPES record last updated: December 30, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Tony Joe Fortin Lcmhcs, Lcas, Ccs NPPES

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

TONY JOE FORTIN LCMHCS, LCAS, CCS (NPI 1689742462) is an individual mental health provider in Greensboro, North Carolina, licensed in North Carolina (2999) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1689742462

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameTONY JOE FORTINCredential: LCMHCS, LCAS, CCS

Location Address1203 MAPLE STGreensboro, NC 27405-6910

Mailing Address1203 Maple StGreensboro, NC 27405-6910 · (336) 641-3934 · Fax (336) 641-6193

Phone(336) 641-3934

Fax(336) 641-6193

Sole ProprietorNo

Enumeration DateDecember 1, 2006

Last NPPES UpdateDecember 30, 2021

NPPES CertifiedDecember 30, 2021

✔ NPI 1689742462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in NC · 2999

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 692 (NC)

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 2999 (NC)

1203 MAPLE ST, Greensboro, NC 27405

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Other Identifiers 1

Medicaid6102795NC

Other Providers at the Same Location NPPES 20

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

MS. MARQUITIA RAINER

Case Manager/Care Coordinator