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KELLY FORTIN LPC
NPI 1740526672
Counselor - Professional in Burlington, CT

Active since December 21, 2012Opted out of Medicare · through Jul 1, 2028
258 SPIELMAN HWY, BURLINGTON, CT 06013(860) 351-7445 Get Directions Write a Review

NPPES record last updated: March 11, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Kelly Fortin Lpc NPPES

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

KELLY FORTIN LPC (NPI 1740526672) is an individual professional provider in Burlington, Connecticut, licensed in Connecticut (2783) and active in the NPI registry since December 2012. She has opted out of Medicare through July 1, 2028 and maintains a secondary practice location in Plainville.

NPPES Registry Identity

NPI1740526672
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKELLY FORTINCredential: LPC
Location Address258 SPIELMAN HWYBurlington, CT 06013-1723
Mailing Address231 Catlin RdHarwinton, CT 06791-1714 · (860) 368-8665
Phone(860) 351-7445
Sole ProprietorNo
Enumeration DateDecember 21, 2012
Last NPPES UpdateMarch 11, 2026
NPPES CertifiedMarch 11, 2026
✔ NPI 1740526672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in CT · 2783
Also ListedCounselorTaxonomy 101Y00000X
258 SPIELMAN HWY, Burlington, CT 06013
Open in Google Maps ↗

Secondary Practice Location 1

Location 156 Whiting St Unit 2Plainville, CT 06062-7701 · Phone (860) 351-7445

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Kelly Fortin Lpc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2024 through July 1, 2028.

Opt-Out Effective DateJuly 1, 2024
Opt-Out In Effect ThroughJuly 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 8

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

SOLOMON D. LEONARD JR.
Counselor (Mental Health)
258 SPIELMAN HWY
BURLINGTON, CT 06013
Northwest Hills Planning Region (860) 368-8665
MORGAN R KEEGAN
Social Worker (Clinical)
258 SPIELMAN HWY
BURLINGTON, CT 06013
Northwest Hills Planning Region (860) 351-7734
REAL TALK CT
Counselor
258 SPIELMAN HWY
BURLINGTON, CT 06013
Northwest Hills Planning Region (860) 325-0579
BURLINGTON MEDICAL, LTD
Internal Medicine
258 SPIELMAN HWY
BURLINGTON, CT 06013
Northwest Hills Planning Region (860) 404-1721
CHRISTAL FURPHY LCSW
Social Worker (Clinical)
258 SPIELMAN HWY
BURLINGTON, CT 06013
Northwest Hills Planning Region (203) 794-4721
THERAPEUTIC COUNSELING CENTER OF CONNECTICUT
Community/Behavioral Health
258 SPIELMAN HWY
BURLINGTON, CT 06013
Northwest Hills Planning Region (860) 325-0579
AISTE NORBERG MD
Internal Medicine
258 SPIELMAN HWY
BURLINGTON, CT 06013
Northwest Hills Planning Region (860) 404-1721
SAMANTHA GAUL
Social Worker (Clinical)
258 SPIELMAN HWY
BURLINGTON, CT 06013
Northwest Hills Planning Region (860) 385-1585

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 Kelly Fortin's NPI number?

The NPI number for Kelly Fortin is 1740526672. It was assigned to this individual provider in the NPPES registry on December 21, 2012.

Where is Kelly Fortin located?

Kelly Fortin practices at 258 Spielman Hwy, Burlington, CT 06013. The listed phone number is (860) 351-7445.

What is Kelly Fortin's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Kelly Fortin enrolled in Medicare?

No. Kelly Fortin has opted out of Medicare through July 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Kelly Fortin accept?

Health plans from Providence Health Plan list Kelly Fortin as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kelly Fortin was last updated on March 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.