BESSIE R. FORTENBERRY (NPI# 1043723794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043723794 |
| Entity Type | Individual |
| Full Name | BESSIE R. FORTENBERRY |
| Credential | LPC, LSW |
| Practice Address |
1733 Highway 471 Brandon MS 39047-8301 |
| Practice Telephone | 6018253370 |
| Mailing Telephone | 6018253370 |
| Enumeration Date | 2017-11-15 |
| Last Update Date | 2017-11-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 0091 | MS | Behavioral Health & Social Service Providers |
| N | 104100000X | Social Worker | W0242 | MS | Behavioral Health & Social Service Providers |
| Street Address |
1733 HIGHWAY 471 |
| City | BRANDON |
| State | MS |
| Zip Code | 39047-8301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396368783 | Siyuan Chen Kennedy | Counselor | 108 Sandstone Drive, Brandon, MS 39047 | 2020-05-20 |
| 1568019784 | Juarez Brown Emerson | Registered Nurse | 426 Pinebrook Circle, Brandon, MS 39047 | 2019-08-22 |
| 1649764127 | Specialty Diagnostics LLC | Family Medicine | 1149 Old Fannin Rd Ste 22, Brandon, MS 39047 | 2018-06-19 |
| 1528423035 | Kathlene Strangeman | Social Worker | 111 Lakeshore Dr Apt G403, Brandon, MS 39047 | 2015-12-28 |
| 1174935076 | Anthony Davis | Counselor | 198 Bellegrove Cir, Brandon, MS 39047 | 2014-05-27 |
| 1144659178 | Medical Foundation of Central Ms, Inc | Family Medicine | 1887 Spillway Rd., Brandon, MS 39047 | 2013-11-12 |
| 1437429941 | Picton Timothy Evans | Pharmacist | 150 B Cumberland Ed, Brandon, MS 39047 | 2012-01-01 |
| 1275828030 | Kathryn Audell Piburn | Nurse Practitioner | 1887 Spillway Rd Ste 140, Brandon, MS 39047 | 2011-06-09 |
| 1801930532 | Susanne Reynolds Moore | Dentist | 1149 Old Fannin Rd, Suite 26, Brandon, MS 39047 | 2007-02-16 |
| 1194898429 | Brookshire Grocery Company | Durable Medical Equipment & Medical Supplies | 143 Plaza Drive Ext, Attention Pharmacy Dept, Brandon, MS 39047 | 2006-11-16 |
| Find all providers in zip 39047 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144794926 | Sarah Hewitt | Counselor | 316 E Holly Blvd, Brandon, SD 57005 | 2019-01-15 |
| 1194294546 | Allen Keith Johnson Jr. | Counselor | 1700 West Government Street Building B. Suite O., Brandon, MS 39042 | 2018-11-15 |
| 1922574003 | Carter's Compassionate Counsel | Counselor | 320 Remington Dr, Brandon, MS 39042-2872 | 2018-10-16 |
| 1942787072 | Coretta D Henderson | Counselor | 301 Greenview Dr, Brandon, FL 33510-3231 | 2018-07-21 |
| 1184130882 | Keystone Counseling, LLC | Counselor | 1219 Millennium Pkwy Ste 113, Brandon, FL 33511-3891 | 2017-12-18 |
| 1184146938 | T'willie L Chandler | Counselor | 301 Pear Orchard Dr, Brandon, MS 39042-7272 | 2017-07-13 |
| 1588106439 | Alyson Brumbaugh | Counselor | 126 Lithia Pinecerst Road, Brandon, FL 33511 | 2016-11-09 |
| 1568897288 | Carissa Ann Palmberg | Counselor | 48261 268th St, Brandon, SD 57005-8501 | 2013-09-12 |
| 1184064198 | Janna Von Francke | Counselor | 2197 Johns Mayton Rd, Brandon, MS 39042-9757 | 2013-07-05 |
| 1811295959 | Marietha Destin | Counselor | 211 Lithia Pinecrest Rd, Brandon, FL 33511-5307 | 2011-03-13 |
| Find all providers in BRANDON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.