Emily Fortuna Therapy

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

EMILY FORTUNA THERAPY

Practice address

3501 Lake Eastbrook Blvd SE Ste 120
Grand Rapids, MI 49546-5939

Phone

(206) 696-8765

NPI assigned

Jan 24, 2023

Last updated

Jan 24, 2023By 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

Emily Fortuna, LPCNPI 1750690368

Title

Owner, Clinician

Phone

(206) 696-8765

Specialties & licenses 1

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.

• Emily Fortuna, MA, LPC

  • Professional Counselor
  • Grand Rapids, MI
  • NPI 1750690368
  NPD Authorized official

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

{
    "created_epoch": "1674518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674518400000",
    "number": "1780390898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3430 BROOKPOINT DR SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495467204",
            "telephone_number": "206-696-8765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 LAKE EASTBROOK BLVD SE STE 120",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495465939",
            "telephone_number": "206-696-8765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMILY FORTUNA THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-24",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A",
        "authorized_official_last_name": "FORTUNA",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "OWNER, CLINICIAN",
        "authorized_official_telephone_number": "206-696-8765",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Emigh
• Michael Emiley, D.P.M.
• Terrence J Emiley, DPM
• Emily Blazic LLC
• Emily Brouwers Counseling LLC
• Emmanuel Hospice
• Emmanuel Hospice
• David Emmenecker
• Erin Eileen Emmert
• Stacy Michelle Emmert, PA-C

• Mental Health Counselor in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; 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.