Organization Active NPI

Fortified Mind Counseling Services, LLP

  • Mental Health Counselor
  • Albuquerque, NM
National Provider Identifier
1316613128
Registry record updated Aug 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
FORTIFIED MIND COUNSELING SERVICES, LLP
Practice address
3005 Louisiana Blvd NE Ste B
Albuquerque, NM 87110-2734
Phone
(505) 494-5931
Fax
(505) 508-2163
NPI assigned
Aug 20, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2021

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

Authorized official

Name
Karen Denise Barnes
Title
Managing Partner
Phone
(505) 494-5931

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

3005 Louisiana Blvd NE Ste B
Albuquerque, NM 87110-2734

Mailing address

9616 Sundoro PL NW
Albuquerque, NM 87120-2987
Phone (505) 659-3067

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://FortifiedMind.theraplatform.com/#/schedule Theraplatform

National Provider Directory

National Provider Directory

Locations

3005 Louisiana Blvd NE
Ste B
Albuquerque, NM 87110
Phone (505) 494-5931

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": "1629417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629417600000",
    "number": "1316613128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9616 SUNDORO PL NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871202987",
            "telephone_number": "505-659-3067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3005 LOUISIANA BLVD NE STE B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871102734",
            "telephone_number": "505-494-5931",
            "fax_number": "505-508-2163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORTIFIED MIND COUNSELING SERVICES, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-20",
        "last_updated": "2021-08-20",
        "certification_date": "2021-08-18",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "505-494-5931"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://FortifiedMind.theraplatform.com/#/schedule",
            "affiliation": "Y",
            "endpointDescription": "Theraplatform direct chat/ email message HIPAA complaint",
            "affiliationName": "Theraplatform",
            "address_1": "1031 Courtney St NW",
            "city": "Grand Rapids",
            "state": "MI",
            "country_code": "US",
            "postal_code": "495043052",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2021; 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.