Active NPI
Kobee Savalas Fitzgerald
- Mental Health Counselor
- Florence, AL
National Provider Identifier
1114572732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- C3301A
- Practice address
- 2620 Hough Rd
Florence, AL 35630-1747 - Phone
- (256) 284-7080
- NPI assigned
- Aug 9, 2019
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | C3301A | AL | Primary |
Addresses
Primary practice location
2620 Hough Rd
Florence, AL 35630-1747
Mailing address
2620 Hough Rd
Florence, AL 35630-1747
Phone (256) 284-7060
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C3301A | AL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Compassionate Counseling LLC | Current | Accepting new patients | |
| Southern Wellness Services | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Sheffield, AL
- NPI 1427755057
-
- Community/Behavioral Health Agency
- Florence, AL
- NPI 1356880207
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565308800000",
"number": "1114572732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2620 HOUGH RD",
"city": "FLORENCE",
"state": "AL",
"postal_code": "356301747",
"telephone_number": "256-284-7060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2620 HOUGH RD",
"city": "FLORENCE",
"state": "AL",
"postal_code": "356301747",
"telephone_number": "256-284-7080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FITZGERALD",
"first_name": "KOBEE",
"middle_name": "SAVALAS",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-08-09",
"last_updated": "2019-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AL",
"license": "C3301A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Florence, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.