Fortitude Mental Healthcare Services

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

FORTITUDE MENTAL HEALTHCARE SERVICES

Practice address

405 N Center St Ste 10
Westminster, MD 21157-5119

Phone

(410) 861-0151

NPI assigned

Sep 3, 2024

Organization subpart

No

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

Authorized official

Name

Kenya Countee-Johnson

Title

President

Phone

(410) 861-0151

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1725321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725321600000",
    "number": "1679308449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 N CENTER ST STE 10",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211575119",
            "telephone_number": "410-861-0151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 N CENTER ST STE 10",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211575119",
            "telephone_number": "410-861-0151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORTITUDE MENTAL HEALTHCARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-03",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A",
        "authorized_official_last_name": "COUNTEE-JOHNSON",
        "authorized_official_first_name": "KENYA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-861-0151"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Florence Behavioral Health Services,LLC
• Jolene Florio, LCPC
• Paula Fogel-Trink, MD
• Riley Tate Forquer, CNM, WHNP-BC
• Jennifer N Forshey, DMD, MD
• Joshua Foster
• Kristi Lee Fostik-Peters, M.A., M.ED., C.A.S.
• Foundational Health Restoration, LLC
• Susan Fowble
• Sarah Frank

• All providers in Westminster, MD
• Mental Health Clinic/Center (Including Community Mental Health Center) in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2024; 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.