Active NPI
Dorothy A. Fondi, MS, LPC, CPCS, MAC
- Professional Counselor
- Jonesboro, GA
National Provider Identifier
1255873709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC007651
- Practice address
- 853 Battlecreek Rd
Jonesboro, GA 30236-1919 - Phone
- (770) 473-2620
- Fax
- (770) 478-8722
- NPI assigned
- Nov 15, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 508802 | GA | |
| Mental Health Counselor | 101YM0800X | LPC007651 | GA | |
| Professional Counselor | 101YP2500X | LPC007651 | GA | Primary |
Addresses
Primary practice location
853 Battlecreek Rd
Jonesboro, GA 30236-1919
Mailing address
157 Smith St
Jonesboro, GA 30236-3546
Phone (770) 473-2418
Other names 1
- Dorothy A. Fortuchang
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 508802 | GA | MD | Addiction (Substance Use Disorder) Counselor |
| LPC007651 | GA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549929600000",
"number": "1255873709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "157 SMITH ST",
"city": "JONESBORO",
"state": "GA",
"postal_code": "302363546",
"telephone_number": "770-473-2418",
"fax_number": "770-473-9772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "853 BATTLECREEK RD",
"city": "JONESBORO",
"state": "GA",
"postal_code": "302361919",
"telephone_number": "770-473-2620",
"fax_number": "770-478-8722"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FONDI",
"first_name": "DOROTHY",
"middle_name": "A.",
"credential": "MS, LPC, CPCS, MAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-11-15",
"last_updated": "2019-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "GA",
"license": "508802",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "GA",
"license": "LPC007651",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC007651",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DOROTHY",
"last_name": "FORTUCHANG",
"middle_name": "A.",
"credential": "LPC, CPCS, MAC, NCC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Jonesboro, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.