Lise O Fitzgerald, MA, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701007404 Issued in VA

Practice address

7400 Beaufont Springs Dr Ste 300
North Chesterfield, VA 23225-5519

Phone

(804) 647-1710

NPI assigned

Feb 13, 2018

Last updated

Nov 4, 2024By the provider in NPPES

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

Enrolled in VA, DC2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Mental Health Counselor

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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

• Hope and Growth Counseling LLC

  • Professional Counselor
  • North Chesterfield, VA
  • NPI 1275340267
  Medicare reassignment NPD Authorized official
• Emh of Greater Richmond LLC

  dba Ellie Mental Health - Midlothian

  • Clinical Social Worker
  • North Chesterfield, VA
  • NPI 1306568399
  Medicare reassignment NPD
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  DC, Professional

  Medicare reassignment NPD
• Seaside Wellness, LLC

  dba Ellie Mental Health

  • Mental Health Counselor
  • Yorktown, VA
  • NPI 1255026746
  NPD
• Goochland County Board of Supervisors

  dba Goochland County Fire-Rescue Department

  • Ambulance
  • Goochland, VA
  • NPI 1689928129
  NPD (past)
• Goochland Powhatan Community Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Goochland, VA
  • NPI 1467448571
  NPD (past)

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

{
    "created_epoch": "1518480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1891295218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 BEAUFONT SPRINGS DR STE 300",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232255519",
            "telephone_number": "804-647-1710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 BEAUFONT SPRINGS DR STE 300",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232255519",
            "telephone_number": "804-647-1710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZGERALD",
        "first_name": "LISE",
        "middle_name": "O",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-13",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701007404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Find Your Balance Psychotherapy, LLC
• Katherine Boehling Finn, LCSW
• First Choice Community Services, LLC
• Brittany Rochelle Fisher, LCSW
• Jill W Fitzgerald, LCSW
• James Fitzsimmons, PA
• Five Star Richmond Inc (5 Star Residential)
• Ashley Flagg, PHARMD
• Hillary N Flaherty, NP
• Alexander Flaxman, MD, MSE

• Professional Counselor in North Chesterfield, VA
• Providers in North Chesterfield, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.