Elizabeth Marie Fitzgerald
Individual provider Active NPI Mental Health Counselor · Piedmont, CA
NPI 1336375690 · NPPES record last updated Jan 31, 2022
Key facts
- NPI
- 1336375690
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 48188 (CA)
- Practice address
- 140 Nova Dr
Piedmont, CA 94610-1040 - Phone
- (510) 508-5138
- NPI assigned
- Jun 1, 2009
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 48188 | CA | Yes |
Addresses
Primary practice location
140 Nova Dr
Piedmont, CA 94610-1040
Mailing address
140 Nova Dr
Piedmont, CA 94610-1040
Phone (510) 508-5138
Other providers in Piedmont, CA
- Alisha Rivera Eastwood
- Gail Sue Eiselman
- Nancy Lynn Evans
- Sage Farrell
- Keith H Fiman
- Kerri Fjeld
- Claudia P Garcia
- Amy Garfinkle
- Lauren Godfrey
- Daniel H Golden
All providers in Piedmont, CA · Mental Health Counselor in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 31, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.