Organization Active NPI

Fortitude Counseling Services, LLC

  • Mental Health Counselor
  • Kearney, NE
National Provider Identifier
1174397012
Registry record updated Dec 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
FORTITUDE COUNSELING SERVICES, LLC
Practice address
124 W 46TH St Ste 110
Kearney, NE 68847-8348
Phone
(308) 440-9042
NPI assigned
Nov 10, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2023

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

Authorized official

Name
Lynn Danielle Cooper, MS LIMHP LPCNPI 1689284374
Title
Owner/Therapist
Phone
(308) 440-9042

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

124 W 46TH St Ste 110
Kearney, NE 68847-8348

Mailing address

124 W 46TH St Ste 110
Kearney, NE 68847-8348
Phone (308) 440-9042

National Provider Directory

National Provider Directory

Locations

124 W 46th St
Ste 110
Kearney, NE 68847
Phone (308) 440-9042

124 W 46th St
Kearney, NE 68847
Phone (308) 395-8107

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": "1699574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703808000000",
    "number": "1174397012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 W 46TH ST STE 110",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688478348",
            "telephone_number": "308-440-9042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 W 46TH ST STE 110",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688478348",
            "telephone_number": "308-440-9042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORTITUDE COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-10",
        "last_updated": "2023-12-29",
        "certification_date": "2023-12-29",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "LYNN",
        "authorized_official_middle_name": "DANIELLE",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "308-440-9042",
        "authorized_official_credential": "MS LIMHP LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kearney, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2023; 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.