Organization Active NPI

Mental Fortitude Therapy

  • Mental Health Counselor
  • Moraine, OH
National Provider Identifier
1184569576
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
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

Updated by the provider on Apr 21, 2026

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

Authorized official

Name
Mr. Kevin Richard Foley, LPCC LICDCNPI 1417310368
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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.