Organization Active NPI

KLF Counseling & Consulting, PA

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Myrtle Beach, SC
National Provider Identifier
1609366699
Registry record updated Jul 22, 2020
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
KLF COUNSELING & CONSULTING, PA
Practice address
1107 48TH Ave N
Myrtle Beach, SC 29577-5443
Phone
(843) 240-9446
Fax
(866) 647-6536
NPI assigned
May 15, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2020

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

Authorized official

Name
Kathy Lee Fortner, EDS LPC CCMHCNPI 1740319060
Title
President-Owner
Phone
(843) 240-9446

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

1107 48TH Ave N
Myrtle Beach, SC 29577-5443

Mailing address

PO Box 7139
Myrtle Beach, SC 29572-0007
Phone (843) 240-9446

Other practice location 1

1107 48th Ave N Ste 310A
Myrtle Beach, SC 29577-5443
Phone (843) 240-9446

National Provider Directory

National Provider Directory

Locations

671 Jamestown Dr
Ste R4
Murrells Inlet, SC 29576

1107 48th Ave N
Ste 310A
Myrtle Beach, SC 29577
Phone (843) 580-4357

1107 48th Ave N
Myrtle Beach, SC 29577
Phone (843) 240-9446

Practitioners & affiliated clinicians

Practitioners 1

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": "1526342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595376000000",
    "number": "1609366699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7139",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295720007",
            "telephone_number": "843-240-9446",
            "fax_number": "866-647-6536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 48TH AVE N",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295775443",
            "telephone_number": "843-240-9446",
            "fax_number": "866-647-6536"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1107 48th Ave N Ste 310A",
            "address_purpose": "LOCATION",
            "city": "Myrtle Beach",
            "state": "SC",
            "postal_code": "295775443",
            "country_code": "US",
            "telephone_number": "843-240-9446",
            "fax_number": "866-647-6536",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KLF COUNSELING & CONSULTING, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-15",
        "last_updated": "2020-07-22",
        "certification_date": "2020-07-22",
        "status": "A",
        "authorized_official_last_name": "FORTNER",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT-OWNER",
        "authorized_official_telephone_number": "843-240-9446",
        "authorized_official_credential": "EDS LPC CCMHC"
    },
    "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 Myrtle Beach, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2020; 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.