Adris Fortunato, CSAC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

2701 Issued in NC

Practice address

136 E Chapel Hill St
Durham, NC 27701

Phone

(919) 688-7101

Fax

(919) 688-7102

NPI assigned

Mar 28, 2012

Sex

Male

Sole proprietor

No

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

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

{
    "created_epoch": "1332892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332892800000",
    "number": "1124394804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 E CHAPEL HILL ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277013202",
            "telephone_number": "919-688-7101",
            "fax_number": "919-688-7102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 E CHAPEL HILL ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "27701",
            "telephone_number": "919-688-7101",
            "fax_number": "919-688-7102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORTUNATO",
        "first_name": "ADRIS",
        "credential": "CSAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-28",
        "last_updated": "2012-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NC",
            "license": "2701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marie Fort, MD
• Kaila Forte
• Abigail Fortenberry, DPT, PT
• Terry Ann Fortin, MD
• Jennifer Fortney
• Lisa Foss, MA, LPC-A
• Wilhelmina J Foster-Long, LCAS
• Chrystal Ann Foster, FNP-C
• Jennifer Ann Foster
• Joy Fmaria Foster

• Counselor in Durham, NC
• Providers in Durham, NC by specialty
• Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.