Organization Active NPI

Natasha Fortune

  • Mental Health Counselor
  • Long Island City, NY
National Provider Identifier
1144874322
Registry record updated Jul 26, 2019
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Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
NATASHA FORTUNE
Practice address
3418 Northern Blvd FL 4
Long Island City, NY 11101-2236
Phone
(646) 812-0830
NPI assigned
Jul 26, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2019

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

Authorized official

Name
Natasha Fortune, LMHC
Title
Owner, LMHC
Phone
(646) 812-0830

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

3418 Northern Blvd FL 4
Long Island City, NY 11101-2236

Mailing address

67 Burns St Apt 6L
Forest Hills, NY 11375-5226

Other identifiers 1

IdentifierTypeStateIssuer
0095241OtherNYLICENSE

Other names 1

  • Vitality CS, LLC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1564099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564099200000",
    "number": "1144874322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 BURNS ST APT 6L",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113755226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3418 NORTHERN BLVD FL 4",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111012236",
            "telephone_number": "646-812-0830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATASHA FORTUNE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-26",
        "last_updated": "2019-07-26",
        "status": "A",
        "authorized_official_last_name": "FORTUNE",
        "authorized_official_first_name": "NATASHA",
        "authorized_official_title_or_position": "OWNER, LMHC",
        "authorized_official_telephone_number": "646-812-0830",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "0095241",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vitality CS, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Long Island City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2019; 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.