Organization Active NPI

Fortis Mentis Wellness, LLC

  • Multi-Specialty Clinic/Center
  • West Palm Beach, FL
National Provider Identifier
1033095880
Registry record updated Aug 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
FORTIS MENTIS WELLNESS, LLC
Practice address
2101 Vista Pkwy Ste 252
West Palm Beach, FL 33411-2706
Phone
(561) 891-3127
NPI assigned
Aug 14, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2025

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

Authorized official

Name
Kathleen Jude EstimeNPI 1932935038
Title
Owner
Phone
(561) 891-3127

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

2101 Vista Pkwy Ste 252
West Palm Beach, FL 33411-2706

Mailing address

5038 Ashley River Rd
West Palm Beach, FL 33417-8352
Phone (561) 891-3127

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251028004886 FL Part B Supplier - Clinic/Group Practice 7719476928 Receives reassigned benefits from 1 practitioner
Practice locations: West Palm Beach, FL

National Provider Directory

National Provider Directory

Locations

2101 Vista Pkwy
Ste 252
West Palm Beach, FL 33411
Phone (561) 686-0933

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1755129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755129600000",
    "number": "1033095880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5038 ASHLEY RIVER RD",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334178352",
            "telephone_number": "561-891-3127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 VISTA PKWY STE 252",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334112706",
            "telephone_number": "561-891-3127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORTIS MENTIS WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-14",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A",
        "authorized_official_last_name": "ESTIME",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "JUDE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-891-3127"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.