Fortitude Counseling Services

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

Last updated

Aug 24, 2017By 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

Beth Ann Burns, LPC, LCAS

Title

Owner

Phone

(336) 609-3737

Specialties & licenses 2

Addresses

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.

• Beth Ann Salter, LCMHC, LCAS

  • Mental Health Counselor
  • Lake Mary, FL
  • NPI 1669756979

  Addiction (Substance Use Disorder)

  NPD

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

{
    "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": []
}

• Forsyth Village
• Forsythe Memorial Hospital, Inc (Maplewood Family Practice At the Village)
• O'Shane Lemar Forsythe
• Leslie Fort-Barrie, M.D.
• Christopher John Fort, M.D.
• Matthew Fortune, LAT, ATC
• Ashlyn Foskey, PHARMD
• June Foss
• Stephen Eugene Foss, LMFT
• Sara Foster Fabiano, MD

• Professional Counselor in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Professional Counselor in North Carolina

• 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.