EMILY FORTUNA MA, LPC
NPI 1750690368
Counselor - Professional in Grand Rapids, MI

Active since September 29, 2010PECOS EnrolledAccepts Medicare Assignment
3501 LAKE EASTBROOK BLVD SE STE 120, GRAND RAPIDS, MI 49546(206) 696-8765 Get Directions Write a Review

NPPES record last updated: April 27, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 27, 2018, Jan 25, 2017 (2 updates tracked since 2017).

About Emily Fortuna Ma, Lpc NPPES

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

EMILY FORTUNA MA, LPC (NPI 1750690368) is an individual professional provider in Grand Rapids, Michigan, licensed in Michigan (6401016255) and active in the NPI registry since September 2010. She is enrolled in Medicare PECOS and is a graduate of Central Michigan College Of Medicine (2009).

NPPES Registry Identity

NPI1750690368
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameEMILY FORTUNACredential: MA, LPC
Location Address3501 LAKE EASTBROOK BLVD SE STE 120Grand Rapids, MI 49546-5939
Mailing Address2200 Negaunee Dr SeGrand Rapids, MI 49506-5321 · (206) 696-8765
Sole ProprietorYes
Medical School CMSCentral Michigan College Of MedicineGraduated 2009
Enumeration DateSeptember 29, 2010
Last NPPES UpdateApril 27, 20182 updates tracked since enumeration
NPI 1750690368 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in MI · 6401016255
3501 LAKE EASTBROOK BLVD SE STE 120, Grand Rapids, MI 49546

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Emily Fortuna Ma, Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6608249594
PECOS Enrollment IDI20251218004195
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 4

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

Social Worker (Clinical)
3501 LAKE EASTBROOK BLVD SE STE 120
GRAND RAPIDS, MI 49546
Social Worker (Clinical)
3501 LAKE EASTBROOK BLVD SE STE 120
GRAND RAPIDS, MI 49546
Counselor (Mental Health)
3501 LAKE EASTBROOK BLVD SE STE 120
GRAND RAPIDS, MI 49546
Social Worker (Clinical)
3501 LAKE EASTBROOK BLVD SE STE 120
GRAND RAPIDS, MI 49546

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 Emily Fortuna's NPI number?

The NPI number for Emily Fortuna is 1750690368. It was assigned to this individual provider in the NPPES registry on September 29, 2010.

Where is Emily Fortuna located?

Emily Fortuna practices at 3501 Lake Eastbrook Blvd SE Ste 120, Grand Rapids, MI 49546. The listed phone number is (206) 696-8765.

What is Emily Fortuna's specialty?

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

Is Emily Fortuna enrolled in Medicare?

Yes. Emily Fortuna is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Emily Fortuna accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community, Oscar Insurance Company and Priority Health and 2 other insurers list Emily Fortuna 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 Emily Fortuna was last updated on April 27, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.