Individual provider Active NPI

Courtney Kristine Fitzgerald, LMHC

  • Mental Health Counselor
  • East Longmeadow, MA
National Provider Identifier
1205316023
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
270 Benton Dr Ste 3
East Longmeadow, MA 01028-3233
Phone
(413) 567-9993
NPI assigned
Aug 21, 2018
Last updated
Jul 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

270 Benton Dr Ste 3
East Longmeadow, MA 01028-3233

Mailing address

270 Benton Dr Ste 3
East Longmeadow, MA 01028-3233
Phone (413) 567-9993

Other names 1

  • Courtney Kristine Jorud Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251114002860 MA Practitioner - Mental Health Counselor 5092206243 Practice locations: Longmeadow, MA

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

171 Dwight Rd
Suite 301a
Longmeadow, MA 01106-1700
Phone (413) 977-6315

171 Dwight Rd
Suite 301a
Longmeadow, MA 01106-1991

5 Rocky Dundee Rd
Stafford Springs, CT 06076-3004

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ubuntu Omoiyari Therapy Group PLLC PastSince Jul 22, 2025 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1534809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752624000000",
    "number": "1205316023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 BENTON DR STE 3",
            "city": "EAST LONGMEADOW",
            "state": "MA",
            "postal_code": "010283233",
            "telephone_number": "413-567-9993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 BENTON DR STE 3",
            "city": "EAST LONGMEADOW",
            "state": "MA",
            "postal_code": "010283233",
            "telephone_number": "413-567-9993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZGERALD",
        "first_name": "COURTNEY",
        "middle_name": "KRISTINE",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-21",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "JORUD",
            "middle_name": "KRISTINE",
            "credential": "LMHC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in East Longmeadow, MA

Sources for this page

Verify at the official NPI Registry.