Fortify Family Counseling, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

FORTIFY FAMILY COUNSELING, LLC

Practice address

720 Washington St
Montpelier, ID 83254-1401

Phone

(208) 220-4197

NPI assigned

Jul 19, 2023

Organization subpart

No

Name

Mr. David W. Roberts, LCPCNPI 1710269170

Title

President

Phone

(208) 220-4197

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

• Victoria Bertler

  • Clinical Social Worker
  • Pocatello, ID
  • NPI 1710207238

  ID

  Medicare reassignment Care Compare group NPD
• Nancy M. Wheeler, LCSW

  • Clinical Social Worker
  • Pocatello, ID
  • NPI 1386787521

  ID

  Medicare reassignment Care Compare group NPD
• David W. Roberts, LCPC

  • Professional Counselor
  • Pocatello, ID
  • NPI 1710269170
  NPD Authorized official

Medicare fee-for-service enrollment

Enrolled in ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 19, 2023.

{
    "created_epoch": "1689724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689724800000",
    "number": "1457031965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 WASHINGTON ST",
            "city": "MONTPELIER",
            "state": "ID",
            "postal_code": "832541401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 WASHINGTON ST",
            "city": "MONTPELIER",
            "state": "ID",
            "postal_code": "832541401",
            "telephone_number": "208-220-4197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORTIFY FAMILY COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-19",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-220-4197",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter Melvin Crane, M.D.
• William Crane, D.P.T.
• Joseph Dayton
• Doris Thornock
• Spencer William Esplin, PA-S
• Gary Scott Griffin, CRNA
• Dorian S Grunig, CRNA
• Steven D Hammond, DDS
• Lance A Hansen, MD
• Health West Inc.

• All providers in Montpelier, ID
• Mental Health Clinic/Center (Including Community Mental Health Center) in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.