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DAPHNE FORTNER
NPI 1760523567
Counselor - Mental Health in Meridian, MS

Active since February 12, 2007PECOS Enrolled
1415 COLLEGE DRIVE, MERIDIAN, MS 39307(601) 483-4821(601) 485-8727 Get Directions Write a Review

NPPES record last updated: October 31, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Daphne Fortner NPPES

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

DAPHNE FORTNER (NPI 1760523567) is an individual mental health provider in Meridian, Mississippi and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1760523567
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameDAPHNE FORTNER
Location Address1415 COLLEGE DRIVEMeridian, MS 39307-5345
Mailing AddressP.o. Box 2868Meridian, MS 39302-2801 · (601) 483-4821 · Fax (601) 485-8727
Phone(601) 483-4821
Fax(601) 485-8727
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateFebruary 12, 2007
Last NPPES UpdateOctober 31, 2024
✔ NPI 1760523567 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1415 COLLEGE DRIVE, Meridian, MS 39307
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Other Names 1

Former Name (1)Daphne Amanda Jones

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Daphne Fortner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2163918152
PECOS Enrollment IDI20251229003239
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 12

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

REGION TEN COMMISSION STATE OF MS
Clinic/Center (Mental Health (Including Community Mental Health Center))
1415 COLLEGE DRIVE
MERIDIAN, MS 39307
Lauderdale County (601) 483-4821
ALLYSON DEES
Counselor (Mental Health)
1415 COLLEGE DRIVE
MERIDIAN, MS 39307
Lauderdale County (601) 483-4821
TASHANDA CHAMBERLIN
Counselor (Mental Health)
1415 COLLEGE DRIVE
MERIDIAN, MS 39307
Lauderdale County (601) 483-4821
DANA MCKEE CMHT
Case Manager/Care Coordinator
1415 COLLEGE DRIVE
MERIDIAN, MS 39307
Lauderdale County (601) 483-4821
ADRIENNE JONES CMHT, LMSW
Social Worker
1415 COLLEGE DRIVE
MERIDIAN, MS 39307
Lauderdale County (601) 483-4821
YOLANDA GREEN
Social Worker (Clinical)
1415 COLLEGE DRIVE
MERIDIAN, MS 39307
Lauderdale County (601) 483-4821
SHAYLA KIRKSEY
Counselor (Mental Health)
1415 COLLEGE DRIVE
MERIDIAN, MS 39307
Lauderdale County (601) 483-4821
LATASHA KIMBROUGH
Counselor (Professional)
1415 COLLEGE DRIVE
MERIDIAN, MS 39307
Lauderdale County (601) 483-4821

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 Daphne Fortner's NPI number?

The NPI number for Daphne Fortner is 1760523567. It was assigned to this individual provider in the NPPES registry on February 12, 2007. The provider is also known as Daphne Amanda Jones.

Where is Daphne Fortner located?

Daphne Fortner practices at 1415 College Drive, Meridian, MS 39307. The listed phone number is (601) 483-4821.

What is Daphne Fortner's specialty?

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

Is Daphne Fortner enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Daphne Fortner was last updated on October 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.