Fortitude Counseling LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

FORTITUDE COUNSELING LLC

Practice address

80 Garden Ctr Ste 40
Broomfield, CO 80020-1777

Phone

(720) 772-9871

NPI assigned

Jan 2, 2022

Organization subpart

No

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

Authorized official

Name

Mary Claire Elliott, LPCNPI 1699329045

Title

Licensed Professional Counselor

Phone

(720) 772-9871

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Practitioners 1

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

• Mary Claire Elliott, LPC

  • Professional Counselor
  • Broomfield, CO
  • NPI 1699329045
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1641081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644019200000",
    "number": "1730840844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 GARDEN CTR STE 40",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800201777",
            "telephone_number": "720-772-9871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 GARDEN CTR STE 40",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800201777",
            "telephone_number": "720-772-9871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORTITUDE COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-02",
        "last_updated": "2022-02-05",
        "certification_date": "2022-02-05",
        "status": "A",
        "authorized_official_last_name": "ELLIOTT",
        "authorized_official_first_name": "MARY CLAIRE",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "720-772-9871",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Forefront Dermatology SC
• Form and Fitness Physical Therapy
• Form and Fitness Physical Therapy LLC
• Jessica Leigh Forman
• Ryan Forrest, M.A., N.C.C.
• Forward Family Therapy
• Foundation Dental Partners LLC
• Foundations Counseling & Wellness LLC
• Fox Chiropractic, P.C.
• Fox Creek Family Dental Broomfield LLC

• Professional Counselor in Broomfield, CO
• Providers in Broomfield, CO by specialty
• Professional Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.