GENNADY FORTUNA
NPI 1780204164
Counselor - Professional in Gladstone, OR
About Gennady Fortuna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GENNADY FORTUNA (NPI 1780204164) is an individual professional provider in Gladstone, Oregon, licensed in Oregon (C6929) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Gennady Fortuna 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.
Medicare Billing Reassignment
Medicare enrollment records show Gennady Fortuna reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Tacoma, WA 98405
- Reassigned Medicare billing, Oregon enrollment
- 314 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
GLADSTONE, OR 97027
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 Gennady Fortuna's NPI number?
The NPI number for Gennady Fortuna is 1780204164. It was assigned to this individual provider in the NPPES registry on April 25, 2020.
Where is Gennady Fortuna located?
Gennady Fortuna practices at 880 82nd Dr, Gladstone, OR 97027. The listed phone number is (503) 856-4798.
What is Gennady Fortuna's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Gennady Fortuna enrolled in Medicare?
Yes. Gennady 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.
Which organization bills Medicare for Gennady Fortuna's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Gennady Fortuna reassigns Medicare benefits to Western Psychological And Counseling Services LLC (Tacoma, WA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Gennady Fortuna's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Gennady Fortuna accept?
Health plans from BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan and 1 other insurer list Gennady 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 Gennady Fortuna was last updated on October 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Gennady Fortuna · NPI 1780204164
Professional provider in Gladstone, Oregon. Individual provider, active in the CMS NPPES registry since April 25, 2020.
## Identity
- **NPI:** 1780204164 (Entity type: Individual)
- **Enumerated:** April 25, 2020
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** C6929 (Oregon)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 880 82ND DR, Gladstone, OR 97027-1803
- **Phone:** (503) 856-4798
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Western Psychological And Counseling Services LLC (NPI 1912008178, Tacoma, WA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** October 2, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1780204164) · Data from the CMS NPPES public registry.