1. Home
  2. Directory
  3. Washington
  4. Vancouver
  5. Counselor
  6. NPI Profile

MACKENZIE FORTNER SUDPT
NPI 1811620511
Counselor - Addiction (Substance Use Disorder) in Vancouver, WA

Active since July 08, 2022
1601 E 4TH PLAIN BLVD BLDG 17, VANCOUVER, WA 98661(360) 903-7998 Get Directions Write a Review

NPPES record last updated: April 7, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 7, 2026, Aug 11, 2022, Jul 8, 2022 (3 updates tracked since 2022).

About Mackenzie Fortner Sudpt NPPES

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

MACKENZIE FORTNER SUDPT (NPI 1811620511) is an individual addiction (substance use disorder) provider in Vancouver, Washington, licensed in Washington (CDPT.CO.70105850) and active in the NPI registry since July 2022.

NPPES Registry Identity

NPI1811620511
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMACKENZIE FORTNERCredential: SUDPT
Location Address1601 E 4TH PLAIN BLVD BLDG 17Vancouver, WA 98661-3717
Mailing Address600 Se 121st Ave Apt 162Vancouver, WA 98683-6094 · (360) 953-3165
Phone(360) 903-7998
Sole ProprietorYes
Enumeration DateJuly 8, 2022
Last NPPES UpdateApril 7, 20263 updates tracked since enumeration
NPPES CertifiedApril 7, 2026
✔ NPI 1811620511 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in WA · CDPT.CO.70105850
Also ListedPeer SpecialistTaxonomy 175T00000X
Also ListedNurse's AideTaxonomy 376K00000X · License NC61159336 (WA)
1601 E 4TH PLAIN BLVD BLDG 17, Vancouver, WA 98661
Open in Google Maps ↗

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.

MRS. KRISTIN K TAND LMHC, LPC
Counselor (Mental Health)
1601 E 4TH PLAIN BLVD BLDG 17
VANCOUVER, WA 98661
Clark County (360) 397-8484
MS. TANNA SCHMID MSW
Counselor
1601 E 4TH PLAIN BLVD BLDG 17
VANCOUVER, WA 98661
Clark County (360) 397-8246
MR. ANDREW LAKSHMAN STRAIT JONES M.A.
Counselor (Addiction (Substance Use Disorder))
1601 E 4TH PLAIN BLVD BLDG 17
VANCOUVER, WA 98661
Clark County (360) 397-8484
LEAH WITHERWAX
Counselor
1601 E 4TH PLAIN BLVD BLDG 17
VANCOUVER, WA 98661
Clark County (360) 397-8246
MS. KRYSTEN COTE MA
Case Manager/Care Coordinator
1601 E 4TH PLAIN BLVD BLDG 17
VANCOUVER, WA 98661
Clark County (360) 397-8474
ALFRED PADILLA MA, DCR, AAC
Counselor (Mental Health)
1601 E 4TH PLAIN BLVD BLDG 17
VANCOUVER, WA 98661
Clark County (360) 397-8198
ANGELA BALLANTYNE
Counselor (Mental Health)
1601 E 4TH PLAIN BLVD BLDG 17
VANCOUVER, WA 98661
Clark County (360) 397-8246
SHELBY FITZGERALD CDPT
Counselor (Addiction (Substance Use Disorder))
1601 E 4TH PLAIN BLVD BLDG 17
VANCOUVER, WA 98661
Clark County (360) 514-2608

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 Mackenzie Fortner's NPI number?

The NPI number for Mackenzie Fortner is 1811620511. It was assigned to this individual provider in the NPPES registry on July 8, 2022.

Where is Mackenzie Fortner located?

Mackenzie Fortner practices at 1601 E 4th Plain Blvd Bldg 17, Vancouver, WA 98661. The listed phone number is (360) 903-7998.

What is Mackenzie Fortner's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Mackenzie Fortner was last updated on April 7, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.