Individual provider Active NPI

Chassidy A Fitzgerald, LPC

  • Professional Counselor
  • Martinsville, VA
National Provider Identifier
1083386973
Registry record updated Jun 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701010645 Issued in VA
Practice address
15A E Church St
Martinsville, VA 24112-6207
Phone
(434) 237-9450
Fax
(434) 237-9454
NPI assigned
Sep 29, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701010645 VA Primary

Addresses

Primary practice location

15A E Church St
Martinsville, VA 24112-6207

Mailing address

108 Duncraig Dr
Lynchburg, VA 24502-3335
Phone (434) 237-9450

Other practice location 1

403 Mount Cross Rd Ste 101
Danville, VA 24540-5561
Phone (434) 237-9450

Other practice location 2

1225 W Main St
Danville, VA 24541-4709
Phone (434) 793-0567

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250115000174 VA Practitioner - Mental Health Counselor 2961930268 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Epic Health Partners LLCGroup PAC ID 4385972611, 6 clinicians

Practice addresses (Care Compare)

155 Deer Run Rd
Danville, VA 24540-2863
Phone (434) 835-4601

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0701010645VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Epic Health Partners, LLC CurrentSince Sep 21, 2024 Accepting new patients
Teladoc Health Medical Group, P.a. Professional Current Accepting new patients
Strategic Therapy Associates, Inc. CurrentSince Jun 4, 2023 Accepting new patients
Strategic Therapy Associates, Inc. PastSince Oct 1, 2021 Accepting new patients
Strategic Therapy Associates, Inc. PastSince Oct 1, 2021 Accepting new patients

Locations

155 Deer Run Rd
Danville, VA 24540
Phone (434) 709-1984

108 Duncraig Dr
Lynchburg, VA 24502
Phone (434) 664-1045

15A E Church St
Martinsville, VA 24112

Interoperability endpoints

  • Direct secure messaging: chassidyfitzgerald@tdh.allscriptsdirect.net

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1632873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685750400000",
    "number": "1083386973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 DUNCRAIG DR",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245023335",
            "telephone_number": "434-237-9450",
            "fax_number": "434-237-9454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15A E CHURCH ST",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241126207",
            "telephone_number": "434-237-9450",
            "fax_number": "434-237-9454"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "403 Mount Cross Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Danville",
            "state": "VA",
            "postal_code": "245405561",
            "country_code": "US",
            "telephone_number": "434-237-9450",
            "fax_number": "434-237-9454",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1225 W Main St",
            "address_purpose": "LOCATION",
            "city": "Danville",
            "state": "VA",
            "postal_code": "245414709",
            "country_code": "US",
            "telephone_number": "434-793-0567",
            "fax_number": "434-793-0569",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FITZGERALD",
        "first_name": "CHASSIDY",
        "middle_name": "A",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-29",
        "last_updated": "2023-06-03",
        "certification_date": "2023-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701010645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinsville, VA

Sources for this page

Verify at the official NPI Registry.