Individual provider Active NPI

Robin Lee Fitch, M.S.,M.DIV.,LPC

  • Mental Health Counselor
  • Atlanta, GA
National Provider Identifier
1780747717
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
000608 Issued in GA
Practice address
2261 Tristan Cir NE
Atlanta, GA 30345-3640
Phone
(404) 633-9995
Fax
(404) 633-9959
NPI assigned
Dec 19, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 000608 GA Primary

Addresses

Primary practice location

2261 Tristan Cir NE
Atlanta, GA 30345-3640

Mailing address

2261 Tristan Cir NE
Atlanta, GA 30345-3640
Phone (404) 633-9995

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
000608GAMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780747717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2261 TRISTAN CIR NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303453640",
            "telephone_number": "404-633-9995",
            "fax_number": "404-633-9959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2261 TRISTAN CIR NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303453640",
            "telephone_number": "404-633-9995",
            "fax_number": "404-633-9959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITCH",
        "first_name": "ROBIN",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "M.S.,M.DIV.,LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "000608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.