Organization Active NPI

Forging Fortitude

  • Community/Behavioral Health Agency
  • Cedar City, UT
National Provider Identifier
1003350521
Registry record updated Dec 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
7448466-3902 Issued in UT
Legal business name
FORGING FORTITUDE
Practice address
427 S Main St
Suite 305
Cedar City, UT 84720-3955
Phone
(775) 530-0188
NPI assigned
Dec 19, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. John Curtis Buckner, L.M.F.T.NPI 1184252066
Title
Therapist
Phone
(775) 530-0188

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 7448466-3902 UT Primary

Addresses

Primary practice location

427 S Main St
Suite 305
Cedar City, UT 84720-3955

Mailing address

427 S Main St
Suite 305
Cedar City, UT 84720-3955

National Provider Directory

National Provider Directory

Locations

427 S Main St
Ste 305
Cedar City, UT 84720
Phone (775) 530-0188

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1482105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482105600000",
    "number": "1003350521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 S MAIN ST",
            "address_2": "SUITE 305",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "847203955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 S MAIN ST",
            "address_2": "SUITE 305",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "847203955",
            "telephone_number": "775-530-0188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORGING FORTITUDE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-19",
        "last_updated": "2016-12-19",
        "status": "A",
        "authorized_official_last_name": "BUCKNER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "CURTIS",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "775-530-0188",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.M.F.T."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "UT",
            "license": "7448466-3902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.