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

Individual provider Mental Health Counselor · NPI 1962191809

Amanda Jane Fortin, LCMHC is a Mental Health Counselor in New London, New Hampshire. Qualified in 2020, 6 years ago. Practices with Counseling Associates of New London PLLC, a 46-clinician group and accepts Medicare assignment. Licensed in New Hampshire.

Years since qualifying
6
Licensed in
NH
In the registry since
2023
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Practice location Address checks out

35 Newport Rd
New London, NH 03257-5413
Phone: (603) 865-1321
Fax: (603) 865-1327
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 2643 (NH)

Record details

NPI number1962191809
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCMHC
Sole proprietorNo
NPI enumeratedMay 5, 2023
Last updated in NPPESMay 16, 2023
Certification dateMay 16, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Counseling Associates Of New London Pllc — 46 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in New London