Fortify Counseling Services, PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

FORTIFY COUNSELING SERVICES, PLLC

Practice address

13706 Research Blvd Ste 312
Austin, TX 78750-1840

Phone

(512) 900-3415

NPI assigned

Nov 13, 2019

Last updated

Nov 13, 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

Brandee R. Smith, LPC, LCDCNPI 1073018412

Title

Owner

Phone

(512) 657-7246

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

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.

• Brandee R Smith, LPC, LCDC

  • Mental Health Counselor
  • Austin, TX
  • NPI 1073018412
  NPD (past) Authorized official

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

{
    "created_epoch": "1573603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573603200000",
    "number": "1568007698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13706 RESEARCH BLVD STE 312",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787501840",
            "telephone_number": "512-900-3415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13706 RESEARCH BLVD STE 312",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787501840",
            "telephone_number": "512-900-3415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORTIFY COUNSELING SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-13",
        "last_updated": "2019-11-13",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "BRANDEE",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-657-7246",
        "authorized_official_credential": "LPC, LCDC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PLLC SUB S CORP TAX ID",
            "identifier": "32065919832",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://fortifycounselingservices.clientsecure.me/home",
            "affiliation": "N",
            "endpointDescription": "portal to secure messaging w/ practice provided user name/pw",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "13706 Research Blvd Ste 312",
            "city": "Austin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "787501840",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Mental Health Counselor in Austin, TX
• Providers in Austin, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.