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

Dr. Chancey Fort, LPC, RPT, NCC, NCSC

Individual provider Mental Health Counselor · NPI 1821774217

Dr. Chancey Fort, LPC, RPT, NCC, NCSC is a Mental Health Counselor in Madison, Mississippi. Qualified in 2014, 12 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
12
Licensed in
MS
In the registry since
2023
Specialties on file
2
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.
NCC — National Certified Counselor
A counsellor certified by the NBCC.

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Practice location Address checks out

105 Executive Dr Ste A
Madison, MS 39110-8496
Phone: (601) 340-9498
Fax: (601) 287-6647
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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 2996 (MS)
Professional Counselor Taxonomy 101YP2500X · Licence 2996 (MS)

Record details

NPI number1821774217
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC , RPT , NCC , NCSC
Sole proprietorYes
NPI enumeratedJune 22, 2023
Last updated in NPPESOctober 1, 2025
Certification dateOctober 1, 2025

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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