Fortune Society Inc. - Medicare Mental Health Clinic in Long Island City, NY

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Fortune Society Inc. is a medicare enrolled mental health clinic (Counselor - Addiction (substance Use Disorder)) in Long Island City, New York. The current practice location for Fortune Society Inc. is Fortune Society Inc., 29-76 Northern Blvd 2nd Fl, Long Island City, New York. For appointments, you can reach them via phone at (212) 691-7554. The mailing address for Fortune Society Inc. is 29-76 Northern Blvd, 2nd Fl, Long Island City, New York and phone number is (212) 691-7554.

Fortune Society Inc. is licensed to practice in New York (license number 141011539). The clinic also participates in the medicare program and its NPI number is 1235357237. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (212) 691-7554.

Contact Information

Fortune Society Inc.
Fortune Society Inc.
29-76 Northern Blvd 2nd Fl
Long Island City
NY 11101-2822
(212) 691-7554
(347) 510-3457

Map and Direction


Mental Health Clinic Profile

Full NameFortune Society Inc.
SpecialityCounselor
LocationFortune Society Inc., Long Island City, New York
Authorized Official Name and PositionStanley Richards (PRESIDENT-CEO)
Authorized Official Contact2126917554
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Fortune Society Inc.
29-76 Northern Blvd
2nd Fl
Long Island City
NY 11101-2822

Ph: (212) 691-7554		Fortune Society Inc.
Fortune Society Inc.
29-76 Northern Blvd 2nd Fl
Long Island City
NY 11101-2822

Ph: (212) 691-7554

NPI Details:

NPI Number1235357237
Provider Enumeration Date04/23/2007
Last Update Date04/10/2025

Medicare PECOS Information:

Medicare PECOS PAC ID0042479263
Medicare Enrollment IDO20120307000821

Medical Identifiers

Medical identifiers for Fortune Society Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235357237NPI-NPPES
02740141MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) 061211539 (New York)Secondary
101YA0400XCounselor - Addiction (substance Use Disorder) 17947 (New York)Secondary
101YA0400XCounselor - Addiction (substance Use Disorder) 17241 (New York)Secondary
101YA0400XCounselor - Addiction (substance Use Disorder) 11776 (New York)Secondary
101YA0400XCounselor - Addiction (substance Use Disorder) 19241 (New York)Secondary
101YM0800XCounselor - Mental Health 8095001A (New York)Secondary
1041C0700XSocial Worker - Clinical 0483531 (New York)Secondary
101YA0400XCounselor - Addiction (substance Use Disorder) 141011539 (New York)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Fortune Society Inc. acts as a billing entity for following providers:
Provider NamePaolo B Travers
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1992892418
PECOS PAC ID: 5294787115
Enrollment ID: I20050218000214
Provider NameJames C Mcintosh
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1275663106
PECOS PAC ID: 1456306687
Enrollment ID: I20050321000437
Provider NameTiffany A Cummins
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1174556914
PECOS PAC ID: 2062419427
Enrollment ID: I20061026000433
Provider NameJessica A Glass
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1992857171
PECOS PAC ID: 0648272187
Enrollment ID: I20070212000635
Provider NameMaureen J Fischer
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1144497454
PECOS PAC ID: 8729234398
Enrollment ID: I20120814000523
Provider NameStephanie Y Young-geye
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205129814
PECOS PAC ID: 6800195637
Enrollment ID: I20160429001005
Provider NameAdriana Y Khoker
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1518229236
PECOS PAC ID: 0749589448
Enrollment ID: I20160502001507
Provider NameKaren Lazarus
Provider TypePractitioner - Addiction Medicine
Provider IdentifiersNPI Number: 1538281282
PECOS PAC ID: 6406118108
Enrollment ID: I20180316000831
Provider NameTazneen I Chowdhury
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700445020
PECOS PAC ID: 6204166754
Enrollment ID: I20190925002792
Provider NameCarline Charles
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1447342597
PECOS PAC ID: 0547697377
Enrollment ID: I20200217002510
Provider NameCraig A Lavin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538712732
PECOS PAC ID: 1951730324
Enrollment ID: I20200406002582
Provider NameFrank R Lipton
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1255496923
PECOS PAC ID: 1456658426
Enrollment ID: I20200406002718
Provider NameMarisa A Damore
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1356729511
PECOS PAC ID: 2961825104
Enrollment ID: I20200707002521
Provider NameEvelyn D Herrera
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1346750627
PECOS PAC ID: 7214336908
Enrollment ID: I20210601000057
Provider NameElizabeth A Christy
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1790935583
PECOS PAC ID: 3476933060
Enrollment ID: I20220628003633
Provider NameRachel E Fraade
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1487429569
PECOS PAC ID: 9335584309
Enrollment ID: I20240229001280
Provider NameLaura C Pena
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1780226928
PECOS PAC ID: 9931540614
Enrollment ID: I20240513001317
Provider NameIlona Criner
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740836675
PECOS PAC ID: 1759815301
Enrollment ID: I20241105003457
Provider NameKayla Bailey
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1669105847
PECOS PAC ID: 5799204483
Enrollment ID: I20250527001383
Provider NameDamien M Asquino
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164244240
PECOS PAC ID: 0941719926
Enrollment ID: I20250602001405

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.