Organization Active NPI

Fortitude Mental Health Counseling, PLLC

  • Mental Health Counselor
  • East Syracuse, NY
National Provider Identifier
1609568427
Registry record updated May 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
FORTITUDE MENTAL HEALTH COUNSELING, PLLC
Practice address
5900 N Burdick St Ste 209
East Syracuse, NY 13057-9463
Phone
(315) 591-8281
NPI assigned
May 22, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2023

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

Authorized official

Name
Jessica Carson, LMHCNPI 1689047169
Title
Ower
Phone
(315) 591-8281

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 CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

5900 N Burdick St Ste 209
East Syracuse, NY 13057-9463

Mailing address

5900 N Burdick St Ste 209
East Syracuse, NY 13057-9463
Phone (315) 591-8281

National Provider Directory

National Provider Directory

Locations

5900 N Burdick St
Ste 209
East Syracuse, NY 13057
Phone (315) 439-9930

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": "1684713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684713600000",
    "number": "1609568427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 N BURDICK ST STE 209",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130579463",
            "telephone_number": "315-591-8281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 N BURDICK ST STE 209",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130579463",
            "telephone_number": "315-591-8281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORTITUDE MENTAL HEALTH COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-22",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A",
        "authorized_official_last_name": "CARSON",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWER",
        "authorized_official_telephone_number": "315-591-8281",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; 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.