Mary Theresa Fitzgerald, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MF001385 Issued in PA

Practice address

6060 Ridge Ave Ste 210
Philadelphia, PA 19128-1660

Phone

(215) 290-2634

NPI assigned

Mar 4, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  Marriage & Family Therapist

  NPD
• HR Physician Services

  • Child & Adolescent Psychiatry Physician
  • Huntingdon Valley, PA
  • NPI 1205500188
  NPD (past)

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

{
    "created_epoch": "1646352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646352000000",
    "number": "1154078640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6060 RIDGE AVE STE 210",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191281660",
            "telephone_number": "215-290-2634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6060 RIDGE AVE STE 210",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191281660",
            "telephone_number": "215-290-2634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZGERALD",
        "first_name": "MARY THERESA",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-04",
        "last_updated": "2022-03-04",
        "certification_date": "2022-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "PA",
            "license": "MF001385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Fitzgerald
• Joanne Fitzgerald, PHARMACIST
• Julie Christina Fitzgerald, M.D.
• Kyle Tyrone Fitzgerald, DO
• Mark Patrick Fitzgerald, MD, PHD
• Megan Elizabeth Fitzgerald, CRNP
• Nora Elizabeth Fitzgerald, LCSW
• Rebecca Lynn Fitzgerald, MSW, LSW
• Jennifer Fitzgibbon, RN
• Sabrina L Fitzig, PA-C

• All providers in Philadelphia, PA
• Marriage & Family Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.