Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Fort Health Medical Group PA

Organization Professional Counselor · NPI 1972342046

Fort Health Medical Group PA is a Professional Counselor in Springfield, Illinois. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
5
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

600 S 2nd St Ste 404
Springfield, IL 62704-2542
Phone: (201) 208-2616
Fax: (973) 381-5773
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Child & Adolescent Psychiatry Physician (primary) Taxonomy 2084P0804X
Professional Counselor Taxonomy 101YP2500X
Clinical Child & Adolescent Psychologist Taxonomy 103TC2200X
Clinical Social Worker Taxonomy 1041C0700X
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X

Record details

NPI number1972342046
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Traci Crosby — Credentialing Manager · (201) 503-4815
Other names Fort Health Medical Group Of Il; Fort Health Medical Group Of Il
NPI enumeratedMay 20, 2024
Last updated in NPPESMarch 26, 2025
Certification dateMarch 26, 2025
Mailing address613 Washington Blvd # 1297, Jersey City, NJ 07310-2900

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