Fogarty Wellness LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

FOGARTY WELLNESS LLC

Practice address

114 Airport Rd Ste a
Panama City, FL 32405-4738

Phone

(850) 832-3173

NPI assigned

Aug 19, 2020

Organization subpart

No

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

Authorized official

Name

Kristy Fogarty, LMHCNPI 1346865268

Title

Owner

Phone

(850) 463-0780

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kristy Fogarty, LMHC

  • Mental Health Counselor
  • Panama City, FL
  • NPI 1346865268
  NPD (past) Authorized official

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

{
    "created_epoch": "1597795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597795200000",
    "number": "1265044499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 KINGSLEE DR",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324093577",
            "telephone_number": "850-832-3173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 AIRPORT RD STE A",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054738",
            "telephone_number": "850-832-3173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOGARTY WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-19",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A",
        "authorized_official_last_name": "FOGARTY",
        "authorized_official_first_name": "KRISTY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-463-0780",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Quesada Flynn
• William J Flynn, M.D.,P.A.
• Focus Limited Inc
• Focus on Behavior
• Focus on Behavior, Inc
• Kristy Fogarty, LMHC
• Kathy Ann Folmar, LIFESTYLE COACH
• Raven Lynn Folmar
• Denise Folsom, MS
• Maria Fonseca

• Mental Health Counselor in Panama City, FL
• Providers in Panama City, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2020; 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.