Organization Active NPI

Kathleen Fitzpatrick, LMHC LLC

  • Mental Health Counselor
  • Orlando, FL
National Provider Identifier
1821353434
Registry record updated Jul 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH8556 Issued in FL
Legal business name
KATHLEEN FITZPATRICK, LMHC LLC
Practice address
6220 S Orange Blossom TRL
Suite 188
Orlando, FL 32809-4630
Phone
(407) 492-1713
NPI assigned
Jul 10, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2012

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

Authorized official

Name
Kathleen FitzpatrickNPI 1447459383
Title
Owner
Phone
(407) 492-1713

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X MH8556 FL Primary

Addresses

Primary practice location

6220 S Orange Blossom TRL
Suite 188
Orlando, FL 32809-4630

Mailing address

PO Box 783662
Winter Garden, FL 34778-3662
Phone (407) 492-1713

Other identifiers 1

IdentifierTypeStateIssuer
1447459383OtherFLINDIVIDUAL NPI

National Provider Directory

National Provider Directory

Locations

6220 S Orange Blossom Trl
Ste 188
Orlando, FL 32809
Phone (407) 492-1713

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1341878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341878400000",
    "number": "1821353434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 783662",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347783662",
            "telephone_number": "407-492-1713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6220 S ORANGE BLOSSOM TRL",
            "address_2": "SUITE 188",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328094630",
            "telephone_number": "407-492-1713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHLEEN FITZPATRICK, LMHC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-10",
        "last_updated": "2012-07-10",
        "status": "A",
        "authorized_official_last_name": "FITZPATRICK",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-492-1713"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH8556",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1447459383",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2012; 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.