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AMANDA JANE FORTIN LCMHC
NPI 1962191809
Counselor - Mental Health in New London, NH

Active since May 05, 2023PECOS EnrolledAccepts Medicare Assignment
35 NEWPORT RD, NEW LONDON, NH 03257(603) 865-1321(603) 865-1327 Get Directions Write a Review

NPPES record last updated: May 16, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 16, 2023, May 5, 2023 (2 updates tracked since 2023).

About Amanda Jane Fortin Lcmhc NPPES

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

AMANDA JANE FORTIN LCMHC (NPI 1962191809) is an individual mental health provider in New London, New Hampshire, licensed in New Hampshire (2643) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1962191809
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameAMANDA JANE FORTINCredential: LCMHC
Location Address35 NEWPORT RDNew London, NH 03257-5413
Mailing Address35 Newport RdNew London, NH 03257-5413 · (603) 865-1321 · Fax (603) 865-1327
Phone(603) 865-1321
Fax(603) 865-1327
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMay 5, 2023
Last NPPES UpdateMay 16, 20232 updates tracked since enumeration
NPPES CertifiedMay 16, 2023
✔ NPI 1962191809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NH · 2643
35 NEWPORT RD, New London, NH 03257
Open in Google Maps ↗

Other Names 1

Former Name (1)Amanda Jane Lary

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and more.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

Amanda Jane Fortin Lcmhc 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 ID6709236045
PECOS Enrollment IDI20231228001242
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Amanda Fortin reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Counseling Associates Of New London PLLC
Same address
Mental Health
35 NEWPORT RD
New London, NH 03257
  • Reassigned Medicare billing, New Hampshire enrollment
  • 63 clinicians in this Medicare group
NPI 1205055365 (603) 865-1321
Thrive Counseling LLC
560 mi
Mental Health
1000 JEFFERSON ST STE 2C
Lynchburg, VA 24504
  • Reassigned Medicare billing, New Hampshire enrollment
  • 5 clinicians in this Medicare group
NPI 1215181300 (855) 284-7483

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.

DAVID L PELLETIER LMHC
Counselor (Mental Health)
35 NEWPORT RD
NEW LONDON, NH 03257
Merrimack County (603) 865-1321
MS. COLEEN ANNE WOOD LICSW
Social Worker (Clinical)
35 NEWPORT RD
NEW LONDON, NH 03257
Merrimack County (603) 865-1321
JAMES BERNARD ESPOSITO LMHC
Counselor (Mental Health)
35 NEWPORT RD
NEW LONDON, NH 03257
Merrimack County (603) 865-1321
AIMEE Y TUCKER MLADC
Counselor (Addiction (Substance Use Disorder))
35 NEWPORT RD
NEW LONDON, NH 03257
Merrimack County (603) 865-1327
MARISSA BAKER MSW
Social Worker (Clinical)
35 NEWPORT RD
NEW LONDON, NH 03257
Merrimack County (603) 865-1321
DANIELLE BAKER MSW
Social Worker
35 NEWPORT RD
NEW LONDON, NH 03257
Merrimack County (603) 865-1321
EVA H JOHNSON MLADC
Counselor (Addiction (Substance Use Disorder))
35 NEWPORT RD
NEW LONDON, NH 03257
Merrimack County (603) 865-1321
DARSIE MCPHEE
Counselor
35 NEWPORT RD
NEW LONDON, NH 03257
Merrimack County (603) 603-8651

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 Amanda Fortin's NPI number?

The NPI number for Amanda Fortin is 1962191809. It was assigned to this individual provider in the NPPES registry on May 5, 2023. The provider is also known as Amanda Jane Lary.

Where is Amanda Fortin located?

Amanda Fortin practices at 35 Newport Rd, New London, NH 03257. The listed phone number is (603) 865-1321.

What is Amanda Fortin's specialty?

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

Is Amanda Fortin enrolled in Medicare?

Yes. Amanda Fortin 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 organizations bill Medicare for Amanda Fortin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Fortin reassigns Medicare benefits to 2 organizations: Counseling Associates Of New London PLLC (New London, NH) and Thrive Counseling LLC (Lynchburg, VA). Each 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 Amanda Fortin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amanda Fortin accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Amanda Fortin 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 Amanda Fortin was last updated on May 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.