Holly W Fitzgerald

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

C002252 Issued in NC

Legal business name

HOLLY W FITZGERALD

Practice address

213 Oxford Hills Dr
Chapel Hill, NC 27514-2131

Phone

(919) 942-4778

Fax

(919) 338-8044

NPI assigned

May 27, 2006

Organization subpart

No

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

Authorized official

Name

Holly W Fitzgerald, LCSWNPI 1083697676

Title

Ms.

Phone

(919) 942-4778

Specialties & licenses 1

Addresses

Other identifiers 4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Holly W Fitzgerald, LCSW

  • Specialist
  • Chapel Hill, NC
  • NPI 1083697676
  NPD (past) Authorized official

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352419200000",
    "number": "1215984083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 OXFORD HILLS DR",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275142131",
            "telephone_number": "919-942-4778",
            "fax_number": "919-338-8044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 OXFORD HILLS DR",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275142131",
            "telephone_number": "919-942-4778",
            "fax_number": "919-338-8044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLY W FITZGERALD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2012-11-09",
        "status": "A",
        "authorized_official_last_name": "FITZGERALD",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "MS.",
        "authorized_official_telephone_number": "919-942-4778",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "C002252",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PPO",
            "identifier": "32276",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6002883",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1083697676",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "2866729",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Susan Hollis, MD
• Ian Bruce Hollis, PHARMD
• Mary Olabisi Hollist, DO
• Allison Grace Hollowell
• Robert P. Hollowell Jr., DDS
• Isabella Marie Holmes, DO
• Jason Paul Holmes, CRNA
• Jordan Tomas Holmes, DO
• Kaylen Holmes, MD
• Taylor Rhea Holmes

• Mental Health Counselor in Chapel Hill, NC
• Providers in Chapel Hill, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2012; 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.