Bonnie Fortson, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

5383 Issued in LA

Practice address

300 Plantation Rd Apt 1
Thibodaux, LA 70301-4442

Phone

(985) 209-5799

NPI assigned

Jan 26, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

South Central la Human Services AuthorityGroup PAC ID 7810129871, 50 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IHJJCA

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.

• South Central la Human Services Authority

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Houma, LA
  • NPI 1104250265
  Medicare reassignment Care Compare group NPD
• South Central la Human Services Authority

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Morgan City, LA
  • NPI 1124452289
  NPD

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

{
    "created_epoch": "1453766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453766400000",
    "number": "1538526181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 PLANTATION RD APT 1",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703014442",
            "telephone_number": "985-209-5799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PLANTATION RD APT 1",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703014442",
            "telephone_number": "985-209-5799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORTSON",
        "first_name": "BONNIE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-26",
        "last_updated": "2016-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "5383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mia Nicole Foret
• Robert Joseph Foret
• Taylor Foret
• Forget Me Not Medical Services LLC 2
• Alan B. Fortier Jr., M.D.
• Whitney France
• Lakesha M Franklin, MA
• Lane Mikael Frey, M.D.
• Megan Frost
• Tommy Lester Fudge, MD

• Professional Counselor in Thibodaux, LA
• Providers in Thibodaux, LA by specialty
• Professional Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.