Amber Fort, LMFT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MFT001638 Issued in GA

Practice address

2376 Main St Ste a
Tucker, GA 30084-4492

Phone

(770) 609-5525

NPI assigned

Sep 8, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1504828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644192000000",
    "number": "1669990743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 RIVER POINT RD",
            "city": "JACKSON",
            "state": "GA",
            "postal_code": "302333719",
            "telephone_number": "678-882-9726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2376 MAIN ST STE A",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300844492",
            "telephone_number": "770-609-5525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORT",
        "first_name": "AMBER",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-08",
        "last_updated": "2022-02-07",
        "certification_date": "2022-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "AMFT000427",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "MFT001638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Focus Care Medical Center
• Marcelle Foley
• Levern Fontaine
• Eleni Andria Footman, MD
• Forever Young LLC
• Foundation 33 Wellness
• Harold Weldon Fountain Jr., D.M.D.
• Y Fountain, PHD, LPC, RPT
• Tieshekia Fowlks-
• Martha Kaput Frame, PT

• Mental Health Counselor in Tucker, GA
• Providers in Tucker, GA by specialty
• Mental Health Counselor in Georgia

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