MEDICARE: LINDSEY FORTUNE MA, LPC, NCC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	LPC.0018802	CO
2	101YS0200X	School Counselor	322607	CO

General Provider Information

NPI Number	:	1760157879
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDSEY FORTUNE MA, LPC, NCC

Provider Business Mailing Address
First Line	:	12860 LARIAT CIR
Second Line	:
City	:	ELBERT
State	:	CO
Zip	:	80106-9004
Country	:	US
Telephone Number	:	719-221-4379
Fax Number	:

Provider Business Practice Location Address
First Line	:	7710 N UNION BLVD STE 204
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80920-4089
Country	:	US
Telephone Number	:	719-221-4379
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/11/2021
Last Update Date	:	08/03/2025

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