Active NPI
Fortitude Counseling Services
- Professional Counselor
- Winston Salem, NC
National Provider Identifier
1669996229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 10452
- 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.
-
- Mental Health Counselor
- Lake Mary, FL
- NPI 1669756979
Addiction (Substance Use Disorder)
National Provider Directory
National Provider DirectorySpecialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LCAS-3347 | NC | |
| Professional Counselor | 101YP2500X | 10452 | NC | Primary |
Addresses
NPPES NPI RegistryPrimary 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.