Fortitude Counseling Associates, PLLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

FORTITUDE COUNSELING ASSOCIATES, PLLC

Practice address

100 Westlake Rd Ste 102
Fayetteville, NC 28314-4871

Phone

(910) 286-9730

Fax

(833) 299-8421

NPI assigned

Nov 29, 2016

Last updated

Sep 7, 2022By 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

Ms. Shawn Jones, LCMHCNPI 1437575339

Title

Ceo/Director

Phone

(910) 286-9730

Specialties & licenses 8

Addresses

Other identifiers 1

Locations

Practitioners 2

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.

• Shawn Jones, LCMHC

  • Professional Counselor
  • Fayetteville, NC
  • NPI 1437575339

  Mental Health

  NPD Authorized official
• Charessa McIntosh, LCSW

  • Clinical Social Worker
  • Fayetteville, NC
  • NPI 1972918290
  NPD (past)

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

{
    "created_epoch": "1480377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662508800000",
    "number": "1558804294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WESTLAKE RD STE 102",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283144871",
            "telephone_number": "910-286-9730",
            "fax_number": "833-299-8421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WESTLAKE RD STE 102",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283144871",
            "telephone_number": "910-286-9730",
            "fax_number": "833-299-8421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORTITUDE COUNSELING ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-29",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "CEO/DIRECTOR",
        "authorized_official_telephone_number": "910-286-9730",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCMHC"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "10707",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1972918290",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fort Liberty Elite Xpress N.E.M.T. LLC
• Marcia E Fort, AU.D., CCC-A
• Brianna Brynithia Forte
• Oliver Fortea, PT
• Chad M Fortin, PT, DPT
• Zulma Karina Fortner
• Kiara Jo Fortune
• Alicia Foster
• Ayonna Foster
• Carol N Foster, LPT

• Professional Counselor in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2022; 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.