Active NPI
Scott F Fitzgibbon, LPC, NCC
- Professional Counselor
- Pittsburgh, PA
National Provider Identifier
1194882274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC002453
- Practice address
- 62 Marlin Dr E
Pittsburgh, PA 15216-1557 - Phone
- (412) 343-1373
- Fax
- (412) 343-1374
- NPI assigned
- Jan 2, 2007
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PC002453 | PA | Primary |
Addresses
Primary practice location
62 Marlin Dr E
Pittsburgh, PA 15216-1557
Mailing address
62 Marlin Dr E
Pittsburgh, PA 15216-1557
Phone (412) 343-1373
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 |
|---|---|---|---|
| PC002453 | PA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1194882274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "62 MARLIN DR E",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152161557",
"telephone_number": "412-343-1373",
"fax_number": "412-343-1374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "62 MARLIN DR E",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152161557",
"telephone_number": "412-343-1373",
"fax_number": "412-343-1374"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FITZGIBBON",
"first_name": "SCOTT",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "LPC, NCC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC002453",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.