MS. JANE MEDLIN FORTUNE LPC NPI 1689859100

NPI Information

  • NPI: 1689859100
  • Provider Name: MS. JANE MEDLIN FORTUNE, LPC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4999 CAROLINA FOREST BLVD
    SUITE 22
    MYRTLE BEACH, SC
    ZIP 29579
  • Phone: (843) 506-0462

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NPI Details

MS. Jane Medlin Fortune, LPC is a professional counselor in Myrtle Beach, SC with 23 years of experience. MS. Jane Medlin Fortune, LPC NPI is 1689859100. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4999 CAROLINA FOREST BLVD
SUITE 22
MYRTLE BEACH, SC
ZIP 29579-587
Phone: (843) 506-0462
Fax: (888) 727-1946

The NPI 1689859100 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 1/3/2008 and was last updated on 3/27/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YP2500XCounselorProfessional4937SOUTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1PC1051MEDICAIDSOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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