Organization Active NPI

Fearless Foundations Counseling, PLLC

  • Mental Health Counselor
  • Durham, NC
National Provider Identifier
1932934254
Registry record updated Sep 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
FEARLESS FOUNDATIONS COUNSELING, PLLC
Practice address
4905 Pine Cone Dr Ste 11
Durham, NC 27707-5258
Phone
(984) 245-6560
NPI assigned
Sep 5, 2024
Last updated
Sep 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2024

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

Authorized official

Name
Caroline Rutledge, LCMHCNPI 1548814122
Title
Therapist/Owner
Phone
(984) 245-6560

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

4905 Pine Cone Dr Ste 11
Durham, NC 27707-5258

Mailing address

4905 Pine Cone Dr Ste 11
Durham, NC 27707-5258
Phone (984) 245-6560

National Provider Directory

National Provider Directory

Locations

4905 Pine Cone Dr
Ste 11
Durham, NC 27707
Phone (984) 245-6560

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1725494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725494400000",
    "number": "1932934254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4905 PINE CONE DR STE 11",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277075258",
            "telephone_number": "984-245-6560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4905 PINE CONE DR STE 11",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277075258",
            "telephone_number": "984-245-6560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FEARLESS FOUNDATIONS COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-05",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-03",
        "status": "A",
        "authorized_official_last_name": "RUTLEDGE",
        "authorized_official_first_name": "CAROLINE",
        "authorized_official_title_or_position": "THERAPIST/OWNER",
        "authorized_official_telephone_number": "984-245-6560",
        "authorized_official_credential": "LCMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2024; 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.