Organization Active NPI

Fortitude Counseling and Treatment LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Nampa, ID
National Provider Identifier
1487419875
Registry record updated Dec 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
FORTITUDE COUNSELING AND TREATMENT LLC
Practice address
912 12TH Ave S Ste 208
Nampa, ID 83651-4681
Phone
(208) 953-1302
NPI assigned
Feb 15, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2024

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

Authorized official

Name
Hilary Joan Raptosh, LCPCNPI 1356820260
Title
Owner/LCPC
Phone
(208) 953-1302

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

912 12TH Ave S Ste 208
Nampa, ID 83651-4681

Mailing address

11108 Alamo LN
Nampa, ID 83686-9244
Phone (208) 953-1302

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241231000345 ID Part B Supplier - Clinic/Group Practice 2567999675 Receives reassigned benefits from 1 practitioner
Practice locations: Nampa, ID

National Provider Directory

National Provider Directory

Locations

912 12th Ave S
Ste 208
Nampa, ID 83651
Phone (208) 740-1183

Practitioners & affiliated clinicians

Practitioners 2

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": "1707955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734220800000",
    "number": "1487419875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11108 ALAMO LN",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836869244",
            "telephone_number": "208-953-1302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 12TH AVE S STE 208",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836514681",
            "telephone_number": "208-953-1302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORTITUDE COUNSELING AND TREATMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-15",
        "last_updated": "2024-12-15",
        "certification_date": "2024-12-15",
        "status": "A",
        "authorized_official_last_name": "RAPTOSH",
        "authorized_official_first_name": "HILARY",
        "authorized_official_middle_name": "JOAN",
        "authorized_official_title_or_position": "OWNER/LCPC",
        "authorized_official_telephone_number": "208-953-1302",
        "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": []
}

Other providers in Nampa, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2024; 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.