Healthcare Provider Details

I. General information

NPI: 1811203854
Provider Name (Legal Business Name): FORTIS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/27/2010
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

225 S WALNUT ST STE 100
OTTAWA KS
66067-2250
US

IV. Provider business mailing address

225 S WALNUT ST STE 100
OTTAWA KS
66067-2250
US

V. Phone/Fax

Practice location:
  • Phone: 913-565-2131
  • Fax: 913-225-7984
Mailing address:
  • Phone: 913-565-2131
  • Fax: 913-225-7984

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: JESSICA LYNN SCHROEDER
Title or Position: CO-OWNER
Credential: MS, LCMFT
Phone: 913-579-3557