Individual provider Active NPI

Elizabeth Fitzpatrick, LPC

  • Professional Counselor
  • Montgomery, AL
National Provider Identifier
1124564760
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3815 Issued in AL
Practice address
600 Interstate Park Dr Ste 609
Montgomery, AL 36109-5474
Phone
(334) 676-3520
Fax
(334) 676-3521
NPI assigned
Jan 6, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 3815 AL Primary

Addresses

Primary practice location

600 Interstate Park Dr Ste 609
Montgomery, AL 36109-5474

Mailing address

600 Interstate Park Dr Ste 609
Montgomery, AL 36109-5474
Phone (334) 676-3520

Other practice location 1

7085 Sydney Curv
Montgomery, AL 36117-3509
Phone (334) 270-5502

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

LicenseStateTypeSpecialty
3815ALMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fitzpatrick Counseling Associates, LLC Current Accepting new patients

Locations

600 Interstate Park Dr
Ste 609
Montgomery, AL 36109
Phone (334) 320-9422

Organizations & group practices 1

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": "1483660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1124564760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 INTERSTATE PARK DR STE 609",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361095474",
            "telephone_number": "334-676-3520",
            "fax_number": "334-676-3521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 INTERSTATE PARK DR STE 609",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361095474",
            "telephone_number": "334-676-3520",
            "fax_number": "334-676-3521"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7085 Sydney Curv",
            "address_purpose": "LOCATION",
            "city": "Montgomery",
            "state": "AL",
            "postal_code": "361173509",
            "country_code": "US",
            "telephone_number": "334-270-5502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FITZPATRICK",
        "first_name": "ELIZABETH",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-06",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "3815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.