Organization Active NPI

Walt Fritz, LPC, LLC

  • Mental Health Counselor
  • Raleigh, NC
National Provider Identifier
1194270744
Registry record updated Aug 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
8894 Issued in NC
Legal business name
WALT FRITZ, LPC, LLC
Practice address
6512 Six Forks Rd
Suite 104
Raleigh, NC 27615-6561
Phone
(919) 473-6468
NPI assigned
Aug 23, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2016

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

Authorized official

Name
Mr. Walt Fritz, LPC
Title
Owner
Phone
(919) 473-6468

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 8894 NC Primary

Addresses

Primary practice location

6512 Six Forks Rd
Suite 104
Raleigh, NC 27615-6561

Mailing address

6512 Six Forks Rd
Suite 104
Raleigh, NC 27615-6561
Phone (919) 473-6468

Other identifiers 1

IdentifierTypeStateIssuer
1184975781MedicaidNC

Other names 1

  • Walt Fritz, LPC, LLC & Associates Doing business as

National Provider Directory

National Provider Directory

Locations

6512 Six Forks Rd
Ste 104
Raleigh, NC 27615
Phone (919) 473-6468

Practitioners & affiliated clinicians

Practitioners 1

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": "1471910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471996800000",
    "number": "1194270744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6512 SIX FORKS RD",
            "address_2": "SUITE 104",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276156561",
            "telephone_number": "919-473-6468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6512 SIX FORKS RD",
            "address_2": "SUITE 104",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276156561",
            "telephone_number": "919-473-6468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALT FRITZ, LPC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-23",
        "last_updated": "2016-08-24",
        "status": "A",
        "authorized_official_last_name": "FRITZ",
        "authorized_official_first_name": "WALT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-473-6468",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "8894",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1184975781",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Walt Fritz, LPC, LLC & Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2016; 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.