Organization Active NPI

Fitzgerald Counseling Group

  • Mental Health Counselor
  • Fall River, MA
National Provider Identifier
1093297616
Registry record updated Jan 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
FITZGERALD COUNSELING GROUP
Practice address
21 Father Devalles Blvd Ste 15
Fall River, MA 02723-1519
Phone
(978) 408-6446
NPI assigned
Aug 30, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2024

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

Authorized official

Name
Jill Fitzgerald, LMHCNPI 1588985931
Title
President
Phone
(978) 408-6446

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 CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

21 Father Devalles Blvd Ste 15
Fall River, MA 02723-1519

Mailing address

21 Father Devalles Blvd Ste 15
Fall River, MA 02723-1519
Phone (978) 408-6446

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240213001140 MA Part B Supplier - Clinic/Group Practice 9436592862 Receives reassigned benefits from 1 practitioner
Practice locations: Fall River, MA

National Provider Directory

National Provider Directory

Locations

21 Father Devalles Blvd
Ste 15
Fall River, MA 02723
Phone (774) 775-2108

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1535587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704844800000",
    "number": "1093297616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 FATHER DEVALLES BLVD STE 15",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027231519",
            "telephone_number": "978-408-6446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 FATHER DEVALLES BLVD STE 15",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027231519",
            "telephone_number": "978-408-6446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FITZGERALD COUNSELING GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-30",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A",
        "authorized_official_last_name": "FITZGERALD",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "978-408-6446",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fall River, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.