Evelyne Kimbriel Fitzgerald, LPC-S

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

15554 Issued in TX

Practice address

1300 S Frazier St Ste 114
Conroe, TX 77301-4410

Phone

(936) 730-5557

NPI assigned

Nov 21, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1511222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537401600000",
    "number": "1770097271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 S FRAZIER ST STE 114",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773014410",
            "telephone_number": "936-730-5557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 S FRAZIER ST STE 114",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773014410",
            "telephone_number": "936-730-5557"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19221 I 45 S Ste 430",
            "address_purpose": "LOCATION",
            "city": "Shenandoah",
            "state": "TX",
            "postal_code": "773858770",
            "country_code": "US",
            "telephone_number": "832-813-5743",
            "fax_number": "832-813-8127",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FITZGERALD",
        "first_name": "EVELYNE",
        "middle_name": "KIMBRIEL",
        "name_prefix": "Dr.",
        "credential": "LPC-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-21",
        "last_updated": "2018-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "TX",
            "license": "15554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Nicole Fisher, LPC - ASSOCIATE
• Cheryl L Fisher, LPC
• Mary Fisher
• Angel Fitchett
• Chelsi Fitzgerald
• Kathleen F Flagge, P.T
• Eric Flesher, D.M.D.
• James R Fletes, M.D.
• Walter Allen Flippo Jr., M.S., L.P.C.
• Barbara Jean Flores, LCSW

• Counseling Psychologist in Conroe, TX
• Providers in Conroe, TX by specialty
• Counseling Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2018; 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.