Gary Fortenberry, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LMFT35841 Issued in CA

Practice address

715 Jackson St Ste B
Red Bluff, CA 96080-3771

Phone

(530) 526-4640

NPI assigned

Mar 2, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• River Cities Counseling & Consulting Inc

  • Community/Behavioral Health Agency
  • Corning, CA
  • NPI 1568903706
  NPD (past) Authorized official
• Corning Union Elementary School District

  • Local Education Agency (LEA)
  • Corning, CA
  • NPI 1487522496
  NPD (past)

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

{
    "created_epoch": "1677715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677715200000",
    "number": "1457050007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 492551",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960492551",
            "telephone_number": "530-824-4709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 JACKSON ST STE B",
            "city": "RED BLUFF",
            "state": "CA",
            "postal_code": "960803771",
            "telephone_number": "530-526-4640"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "643 Blackburn Ave",
            "address_purpose": "LOCATION",
            "city": "Corning",
            "state": "CA",
            "postal_code": "960212216",
            "country_code": "US",
            "telephone_number": "530-824-4709",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1005 Hoag St",
            "address_purpose": "LOCATION",
            "city": "Corning",
            "state": "CA",
            "postal_code": "960212955",
            "country_code": "US",
            "telephone_number": "530-824-7700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORTENBERRY",
        "first_name": "GARY",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-02",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT35841",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1568903706",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Reggie Lon Fisher, CAS
• Nelly Vanessa Flores
• Melissa Renee Ford, PSY.D.
• Janice Forest, PPS
• Misty Marie Forsyth, SUDRC
• Laura L. Fox, M.S. R.D.
• Lisa Marie Fox, BSN
• Patricia Lynn Franks
• Kimberli Frantz, MD
• Timothy Drew Frantz, MD

• Marriage & Family Therapist in Red Bluff, CA
• Providers in Red Bluff, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2023; 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.