Erin Suzanne Fortuna, GCDF, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6401010920 Issued in MI

Practice address

9844 Dixie Hwy
Ira, MI 48023-2813

Phone

(586) 716-7600

NPI assigned

May 15, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• New Horizons Counseling Center PLLC

  • Community/Behavioral Health Agency
  • Ira, MI
  • NPI 1275839169
  NPD (past)

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

{
    "created_epoch": "1337040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337040000000",
    "number": "1093074734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 HUBBARD ST",
            "city": "MOUNT CLEMENS",
            "state": "MI",
            "postal_code": "480435517",
            "telephone_number": "586-909-1798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9844 DIXIE HWY",
            "city": "IRA",
            "state": "MI",
            "postal_code": "480232813",
            "telephone_number": "586-716-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORTUNA",
        "first_name": "ERIN",
        "middle_name": "SUZANNE",
        "name_prefix": "Mrs.",
        "credential": "GCDF, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-15",
        "last_updated": "2012-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401010920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alisha L Bisnett, LLPC
• Lauren Bomke, LLPC
• David Scott Dakroub I, MS.,LPC
• Robert C Esselink, LPC, CADC
• Aaron Richard Forgash, MA LLPC
• Ira Chiro PC
• Paul Andrew Mahoney II, A.T.,C. L.A.T.
• Haylee Madison Majewski
• Michelle Miclea
• Deborah Mueller, L.L.P.C.

• Mental Health Counselor in Ira, MI
• Providers in Ira, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2012; 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.