Fortune Relief and Youth Empowerment Organization

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

FORTUNE RELIEF AND YOUTH EMPOWERMENT ORGANIZATION

Doing business as

Frayeo

Practice address

2910 Pillsbury Ave S
Suite 432
Minneapolis, MN 55408-5504

Phone

(612) 213-9312

NPI assigned

Dec 10, 2019

Last updated

Dec 10, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ukasha Dakane

Title

Executive Director

Phone

(612) 213-9312

Specialties & licenses 4

Addresses

Other names 1

• FRAYEO Doing business as

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1575936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575936000000",
    "number": "1487292322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2910 PILLSBURY AVE S, SUITE 432",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554085504",
            "telephone_number": "612-213-9312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2910 PILLSBURY AVE S",
            "address_2": "SUITE 432",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554085504",
            "telephone_number": "612-213-9312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORTUNE RELIEF AND YOUTH EMPOWERMENT ORGANIZATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-10",
        "last_updated": "2019-12-10",
        "certification_date": "2019-12-10",
        "status": "A",
        "authorized_official_last_name": "DAKANE",
        "authorized_official_first_name": "UKASHA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "612-213-9312"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Encrypted",
            "affiliation": "N",
            "endpointDescription": "Encrypted",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Encrypted",
            "address_1": "2910 Pillsbury Ave S",
            "address_2": "Suite 432",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554085504",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "FRAYEO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Preston Ellard Forthun, DC ATC
• Jennifer Nicole Fortner, RN
• Deborah Fortney, LADC
• Fortunate Homes LLC
• Fortunate Homes LLC
• Forward Motion Therapy PLLC (Forward Motion Therapy)
• Forward Path LLC
• Forward Services LLC
• Forward Transportation Services LLC
• Edward Fosco, MS

• Adult Mental Health Clinic/Center in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Adult Mental Health Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2019; 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.