Active NPI
Mary F Fitzpatrick, LCPC, LAC
- Mental Health Counselor
- Billings, MT
National Provider Identifier
1316933013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 976
- Practice address
- 1245 N 29TH St
Billings, MT 59101-0122 - Phone
- (406) 252-5658
- Fax
- (406) 252-4641
- NPI assigned
- Sep 27, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1011 | MT | |
| Mental Health Counselor | 101YM0800X | 976 | MT | Primary |
Addresses
Primary practice location
1245 N 29TH St
Billings, MT 59101-0122
Mailing address
1245 N 29TH St
Billings, MT 59101-0122
Phone (406) 252-5658
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0216121 | Medicaid | MT | |
| 760510 | Other | MT | BLUE CROSS BLUE SHIELD |
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 |
|---|---|---|---|
| 976 | MT | MD | Mental Health Counselor |
| 1011 | MT | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1234310400000",
"number": "1316933013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1245 N 29TH ST",
"city": "BILLINGS",
"state": "MT",
"postal_code": "591010122",
"telephone_number": "406-252-5658",
"fax_number": "406-252-4641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1245 N 29TH ST",
"city": "BILLINGS",
"state": "MT",
"postal_code": "591010122",
"telephone_number": "406-252-5658",
"fax_number": "406-252-4641"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FITZPATRICK",
"first_name": "MARY",
"middle_name": "F",
"credential": "LCPC, LAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-27",
"last_updated": "2009-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MT",
"license": "1011",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MT",
"license": "976",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0216121",
"state": "MT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "760510",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Billings, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.