Individual provider Active NPI

Angela W Fitzgerald

  • Mental Health Counselor
  • Richmond, VA
National Provider Identifier
1780214460
Registry record updated Jan 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0732001118 Issued in VA
Practice address
2205 Perl Rd
Richmond, VA 23230-2007
Phone
(804) 447-2139
Fax
(804) 447-2156
NPI assigned
Jan 22, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0733007192 VA
Mental Health Counselor 101YM0800X 0732001118 VA Primary

Addresses

Primary practice location

2205 Perl Rd
Richmond, VA 23230-2007

Mailing address

3126 W Cary St Apt 262
Richmond, VA 23221-3504
Phone (804) 908-1115

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Richmond Direct

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

LicenseStateTypeSpecialty
0732001118VAMDMental Health Counselor
0733007192VAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Milestone Counseling Services LLC CurrentSince Jan 26, 2020 Accepting new patients
Milestone Counseling Services LLC PastSince Jan 26, 2020 Accepting new patients

Locations

2205 Perl Rd
Richmond, VA 23230
Phone (804) 447-2139

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1579651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579651200000",
    "number": "1780214460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3126 W CARY ST APT 262",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232213504",
            "telephone_number": "804-908-1115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2205 PERL RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232302007",
            "telephone_number": "804-447-2139",
            "fax_number": "804-447-2156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZGERALD",
        "first_name": "ANGELA",
        "middle_name": "W",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-22",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0733007192",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0732001118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Richmond",
            "affiliation": "N",
            "endpointDescription": "Office",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "Medical Records",
            "address_1": "3126 W Cary St Apt 262",
            "city": "Richmond",
            "state": "VA",
            "country_code": "US",
            "postal_code": "232213504",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2020; 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.