Nicole C Fortune, MSW

Primary specialty

CounselorTaxonomy code 101Y00000X

License

P013231 Issued in NC

Practice address

10520 Little Brier Creek LN # 205
Raleigh, NC 27617-2012

Phone

(984) 244-2111

NPI assigned

Feb 26, 2021

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

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.

• Pillow Fort Sessions Therapy

  • Clinical Social Worker
  • Raleigh, NC
  • NPI 1821868761
  NPD Authorized official

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

{
    "created_epoch": "1614297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614297600000",
    "number": "1992399281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7660 SUMTER CREST DR APT 6001",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276176803",
            "telephone_number": "843-377-9264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10520 LITTLE BRIER CREEK LN # 205",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276172012",
            "telephone_number": "984-244-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORTUNE",
        "first_name": "NICOLE",
        "middle_name": "C",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-26",
        "last_updated": "2021-02-26",
        "certification_date": "2021-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": "NC",
            "license": "P013231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Marie Fortener, P.T.
• Kailey Alexa Forth, MD
• Fortier Gynecology PLLC
• Kenneth Joseph Fortier, M.D.
• Teresa M. Fortner, M.O.T. OTR L
• Forward Speech and Language Therapy, PLLC
• Mikayla Foskey
• Amy Louise Foster, BSN, RN
• Ashley Barrett Foster, FNP
• Caitlin Foster

• Counselor in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2021; 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.