Organization Active NPI

Fortitude Behavioral Health, Professional Limited

  • Psychiatric/Mental Health Nurse Practitioner
  • Humble, TX
National Provider Identifier
1457191652
Registry record updated Oct 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
FORTITUDE BEHAVIORAL HEALTH, PROFESSIONAL LIMITED
Practice address
4830 Wilson Rd Ste 300
Humble, TX 77396-1972
Phone
(281) 318-1796
NPI assigned
May 28, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2025

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

Authorized official

Name
Alicia Rosalyn ThomasNPI 1083376529
Title
Owner
Phone
(281) 318-1796

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

4830 Wilson Rd Ste 300
Humble, TX 77396-1972

Mailing address

4830 Wilson Rd Ste 300
Humble, TX 77396-1972
Phone (281) 318-1796

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240906000266 TX Part B Supplier - Clinic/Group Practice 6002356912 Receives reassigned benefits from 1 practitioner
Practice locations: Humble, TX

National Provider Directory

National Provider Directory

Locations

107 1st St W
Ste 203
Humble, TX 77338
Phone (281) 318-1796

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1716854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761264000000",
    "number": "1457191652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4830 WILSON RD STE 300",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773961972",
            "telephone_number": "281-318-1796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4830 WILSON RD STE 300",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773961972",
            "telephone_number": "281-318-1796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORTITUDE BEHAVIORAL HEALTH, PROFESSIONAL LIMITED",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-28",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-24",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_middle_name": "ROSALYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-318-1796"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Humble, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; 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.