Kathy Lee Fortner, ED.S, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

4632 Issued in SC

Practice address

820 67TH Ave N Unit 7139
Myrtle Beach, SC 29572-0315

Phone

(843) 240-9556

Fax

(866) 647-6536

NPI assigned

Mar 4, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• KLF Counseling & Consulting, PA

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Myrtle Beach, SC
  • NPI 1609366699
  NPD Authorized official

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

{
    "created_epoch": "1172966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767571200000",
    "number": "1740319060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7139",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295720007",
            "telephone_number": "843-240-9446",
            "fax_number": "866-647-6536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 67TH AVE N UNIT 7139",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295720315",
            "telephone_number": "843-240-9556",
            "fax_number": "866-647-6536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORTNER",
        "first_name": "KATHY",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "ED.S, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-04",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "4632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Gardner Foreman, MD
• Forest Crossing Family Dental, LLC
• Forest Family Care, Inc
• Forest Family Practice, LLC
• Kyle Allan Forman, DPT
• Jane Medlin Fortune, LPC
• Madelynn Laci Fougere
• Tasha Foushee, M.D.
• Lionel Thomas Fowler, DMD
• Avraham Fox

• Mental Health Counselor in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Mental Health Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2026; 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.