IndividualActive
Mackenzie Fortner, SUDPT
NPI 1811620511 · Addiction (Substance Use Disorder) Counselor · Vancouver, WA
Provider details
- NPI number
- 1811620511
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- SUDPT
- Sex
- Female
- Sole proprietor
- Yes
- License
- CDPT.CO.70105850 (WA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Nursing Service Related Providers
- Peer Specialist175T00000X
Other Service Providers
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1601 E 4th Plain Blvd Bldg 17
Vancouver, WA 98661-3717
Phone: (360) 903-7998
Street-level locationGet directions
Mailing address
600 Se 121st Ave Apt 162
Vancouver, WA 98683-6094
Registry dates
- Enumerated
- 2022-07-08
- Last updated
- 2026-04-07
- Certified
- 2026-04-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.