Kelly Allison Fitzgerald, M.S.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH60305072 Issued in WA

Practice address

1601 R Ave
Anacortes, WA 98221-2276

Phone

(360) 708-9946

NPI assigned

Oct 9, 2007

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

Other names 1

• Kelly Allison Dolan Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Northwest Education Service District 189

  • Local Education Agency (LEA)
  • Anacortes, WA
  • NPI 1295964658
  NPD (past)

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382054400000",
    "number": "1881882579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 R AVE",
            "city": "ANACORTES",
            "state": "WA",
            "postal_code": "982212276",
            "telephone_number": "360-708-9946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 R AVE",
            "city": "ANACORTES",
            "state": "WA",
            "postal_code": "982212276",
            "telephone_number": "360-708-9946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZGERALD",
        "first_name": "KELLY",
        "middle_name": "ALLISON",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-09",
        "last_updated": "2013-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60305072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "DOLAN",
            "middle_name": "ALLISON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Fidalgo Sports and Physiatry
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• Janet Fischer, LSWAA
• Vicki Fishfader
• Ellen L Fitch
• Alethea Fleming, N.D.
• Nadine Foist, MD
• Keith Harrison Ford
• Dean Alister Forsythe Sr., LMHC
• Vanessa Foster, L.M.P.

• Mental Health Counselor in Anacortes, WA
• Providers in Anacortes, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2013; 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.