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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MS. IDEAN JOSEPHINE FORTUNE II LSATP, MAC, CSAC
NPI 1811891443
Counselor - Addiction (Substance Use Disorder) in Chantilly, VA

Active since October 06, 2026
4213 WALNEY RD, CHANTILLY, VA 20151(703) 502-7060(703) 502-7006 Get Directions Write a Review

NPPES record added: October 6, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ms. Idean Josephine Fortune Ii Lsatp, Mac, Csac NPPES

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

MS. IDEAN JOSEPHINE FORTUNE II LSATP, MAC, CSAC (NPI 1811891443) is an individual addiction (substance use disorder) provider in Chantilly, Virginia, licensed in Virginia (0718000814) and active in the NPI registry since October 2026.

NPPES Registry Identity

NPI1811891443
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMS. IDEAN JOSEPHINE FORTUNE IICredential: LSATP, MAC, CSAC
Location Address4213 WALNEY RDChantilly, VA 20151-2923
Mailing Address4213 Walney RdChantilly, VA 20151-2923 · (703) 502-7020 · Fax (703) 502-7006
Phone(703) 502-7060
Fax(703) 502-7006
Sole ProprietorNo
Enumeration DateOctober 6, 2026
NPPES CertifiedOctober 6, 2026
✔ NPI 1811891443 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in VA · 0718000814
4213 WALNEY RD, Chantilly, VA 20151
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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.

MS. XIN WANG NP
Nurse Practitioner (Adult Health)
4213 WALNEY RD
CHANTILLY, VA 20151
Fairfax County (703) 383-8500
KARLA MAYANDY CAMPOS-HUNT LPC, CSAC
Counselor (Professional)
4213 WALNEY RD
CHANTILLY, VA 20151
Fairfax County (703) 502-7060
LISA TAYLOR LCSW, CSAC
Social Worker (Clinical)
4213 WALNEY RD
CHANTILLY, VA 20151
Fairfax County (703) 502-7016
MRS. KATHLEEN ANNE CAMPENNI R.N.
Registered Nurse
4213 WALNEY RD
CHANTILLY, VA 20151
Fairfax County (703) 502-7000
FAIRFAX FALLS CHURCH COMMUNITY SERVICE BOARD
Substance Abuse Rehabilitation Facility
4213 WALNEY RD
CHANTILLY, VA 20151
Fairfax County (703) 502-7000
HOLLY JO-ANN BURLEY LCSW
Social Worker (Clinical)
4213 WALNEY RD
CHANTILLY, VA 20151
Fairfax County (703) 502-7009
JOHN DAVID HUDSON III
Student in an Organized Health Care Education/Training Program
4213 WALNEY RD
CHANTILLY, VA 20151
Fairfax County (703) 502-7000
MAX-ANDRE ISIDORE LCSW
Social Worker (Clinical)
4213 WALNEY RD
CHANTILLY, VA 20151
Fairfax County (703) 502-7000

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 Idean Fortune's NPI number?

The NPI number for Idean Fortune is 1811891443. It was assigned to this individual provider in the NPPES registry on October 6, 2026.

Where is Idean Fortune located?

Idean Fortune practices at 4213 Walney Rd, Chantilly, VA 20151. The listed phone number is (703) 502-7060.

What is Idean Fortune'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 Idean Fortune was last updated on October 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 days 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.