Active NPI
Elizabeth Fortuna
- Marriage & Family Therapist
- West Palm Beach, FL
National Provider Identifier
1891949079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Practice address
- 1639 Forum PL Ste 7
West Palm Beach, FL 33401-2330 - Phone
- (561) 712-8821
- NPI assigned
- Nov 14, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Marriage & Family Therapist | 106H00000X | Primary |
Addresses
Primary practice location
1639 Forum PL Ste 7
West Palm Beach, FL 33401-2330
Mailing address
1639 Forum PL Ste 7
West Palm Beach, FL 33401-2330
Phone (561) 712-8821
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Community Mental Health Center, Inc. | Past | Accepting new patients | |
| Northeast Community Mental Health Center, Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Philadelphia, PA
- NPI 1841331246
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Philadelphia, PA
- NPI 1902947211
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648166400000",
"number": "1891949079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1639 FORUM PL STE 7",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334012330",
"telephone_number": "561-712-8821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1639 FORUM PL STE 7",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334012330",
"telephone_number": "561-712-8821"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORTUNA",
"first_name": "ELIZABETH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-11-14",
"last_updated": "2022-03-25",
"certification_date": "2022-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.