Organization Active NPI

Fortitude Counseling Services

  • Professional Counselor
  • Winston Salem, NC
National Provider Identifier
1669996229
Registry record updated Aug 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
10452 Issued in NC
Legal business name
FORTITUDE COUNSELING SERVICES
Practice address
615 Saint George Square CT
Winston Salem, NC 27103-1356
Phone
(336) 609-3737
NPI assigned
Jul 26, 2017
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Beth Ann Burns, LPC, LCAS
Title
Owner
Phone
(336) 609-3737

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X LCAS-3347 NC
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 10452 NC Primary

Addresses

NPPES NPI Registry

Primary practice location

615 Saint George Square CT
Winston Salem, NC 27103-1356

Mailing address

5129 W US Highway 64
Lexington, NC 27295-6981
Phone (336) 609-3737

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 24, 2017.

{
    "created_epoch": "1501027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503532800000",
    "number": "1669996229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5129 W US HIGHWAY 64",
            "city": "LEXINGTON",
            "state": "NC",
            "postal_code": "272956981",
            "telephone_number": "336-609-3737",
            "fax_number": "336-232-1368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 SAINT GEORGE SQUARE CT",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271031356",
            "telephone_number": "336-609-3737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORTITUDE COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-26",
        "last_updated": "2017-08-24",
        "status": "A",
        "authorized_official_last_name": "BURNS",
        "authorized_official_first_name": "BETH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-609-3737",
        "authorized_official_credential": "LPC, LCAS"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS-3347",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "10452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2017; 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.