Active NPI
Fostering Fortitude Mental Health and Wellness LLC
- Social Worker
- Howell, MI
National Provider Identifier
1821870544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Legal business name
- FOSTERING FORTITUDE MENTAL HEALTH AND WELLNESS LLC
- Practice address
- 4896 Chilson Rd
Howell, MI 48843-9453 - Phone
- (989) 520-4744
- NPI assigned
- Oct 17, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mary Beth Houpt
- Title
- Credentialing
- Phone
- (517) 676-9797
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
4896 Chilson Rd
Howell, MI 48843-9453
Mailing address
PO Box 10
Mason, MI 48854-0010
National Provider Directory
National Provider DirectoryLocations
4896 Chilson Rd
Howell, MI 48843
Phone (248) 599-1418
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1697500800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1697500800000",
"number": "1821870544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10",
"city": "MASON",
"state": "MI",
"postal_code": "488540010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4896 CHILSON RD",
"city": "HOWELL",
"state": "MI",
"postal_code": "488439453",
"telephone_number": "989-520-4744"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOSTERING FORTITUDE MENTAL HEALTH AND WELLNESS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-10-17",
"last_updated": "2023-10-17",
"certification_date": "2023-10-17",
"status": "A",
"authorized_official_last_name": "HOUPT",
"authorized_official_first_name": "MARY BETH",
"authorized_official_title_or_position": "CREDENTIALING",
"authorized_official_telephone_number": "517-676-9797"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Howell, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.