Active NPI
Mental Fortitude Therapy
- Mental Health Counselor
- Moraine, OH
National Provider Identifier
1184569576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- MENTAL FORTITUDE THERAPY
- Practice address
- 2438 Winwood Ave
Moraine, OH 45439-2846 - Phone
- (937) 814-9296
- Fax
- (937) 814-9296
- NPI assigned
- Apr 21, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Kevin Richard Foley, LPCC LICDC
- Title
- Owner
- Phone
- (937) 814-9296
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
2438 Winwood Ave
Moraine, OH 45439-2846
Mailing address
707 Miamisburg Centerville Rd # 124
Centerville, OH 45459-6522
Phone (937) 814-9296
National Provider Directory
National Provider DirectoryLocations
707 Miamisburg Centerville Rd
Dayton, OH 45459
Phone (937) 470-8407
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Moraine, OH
- NPI 1417310368
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1776729600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1776729600000",
"number": "1184569576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "707 MIAMISBURG CENTERVILLE RD # 124",
"city": "CENTERVILLE",
"state": "OH",
"postal_code": "454596522",
"telephone_number": "937-814-9296",
"fax_number": "937-814-9296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2438 WINWOOD AVE",
"city": "MORAINE",
"state": "OH",
"postal_code": "454392846",
"telephone_number": "937-814-9296",
"fax_number": "937-814-9296"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MENTAL FORTITUDE THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2026-04-21",
"last_updated": "2026-04-21",
"certification_date": "2026-04-21",
"status": "A",
"authorized_official_last_name": "FOLEY",
"authorized_official_first_name": "KEVIN",
"authorized_official_middle_name": "RICHARD",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "937-814-9296",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LPCC LICDC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Moraine, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.