Active NPI
Sean D Fitzmaurice
- Professional Counselor
- Lawrenceville, NJ
National Provider Identifier
1063123743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 22 Gordon Ave
Lawrenceville, NJ 08648-1033 - Phone
- (732) 580-1679
- NPI assigned
- Dec 13, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
22 Gordon Ave
Lawrenceville, NJ 08648-1033
Mailing address
PO Box 6573
Lawrenceville, NJ 08648-0573
Phone (732) 580-1679
Other practice location 1
223 S Main St
Cape May Court House, NJ 08210-2240
Phone (732) 580-1679
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Lawrenceville | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260330003983 | NJ | Practitioner - Mental Health Counselor | 4880179696 | Practice locations: Lawrenceville, NJ |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
22 Gordon Ave
Lawrenceville, NJ 08648-1033
Phone (609) 844-0452
PO Box
Suite 6573
Lawrenceville, NJ 08648
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786924800000",
"number": "1063123743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6573",
"city": "LAWRENCEVILLE",
"state": "NJ",
"postal_code": "086480573",
"telephone_number": "732-580-1679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 GORDON AVE",
"city": "LAWRENCEVILLE",
"state": "NJ",
"postal_code": "086481033",
"telephone_number": "732-580-1679"
}
],
"practiceLocations": [
{
"address_1": "223 S Main St",
"address_purpose": "LOCATION",
"city": "Cape May Court House",
"state": "NJ",
"postal_code": "082102240",
"country_code": "US",
"telephone_number": "732-580-1679",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FITZMAURICE",
"first_name": "SEAN",
"middle_name": "D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-12-13",
"last_updated": "2026-08-17",
"certification_date": "2026-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Lawrenceville",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "22 Gordon Ave",
"city": "Lawrenceville",
"state": "NJ",
"country_code": "US",
"postal_code": "086481033",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lawrenceville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.