Elizabeth Machelle Fitzer, LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

1560 Issued in KY

Practice address

57 Dora LN
Greenup, KY 41144-1187

Phone

(606) 473-7333

Fax

(606) 473-7335

NPI assigned

Nov 16, 2010

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 6, 2014.

{
    "created_epoch": "1289865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415232000000",
    "number": "1982905360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 790",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411050790",
            "telephone_number": "606-329-8588",
            "fax_number": "606-329-8195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 DORA LN",
            "city": "GREENUP",
            "state": "KY",
            "postal_code": "411441187",
            "telephone_number": "606-473-7333",
            "fax_number": "606-473-7335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZER",
        "first_name": "ELIZABETH",
        "middle_name": "MACHELLE",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-16",
        "last_updated": "2014-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "1560",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100283560",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH #",
            "identifier": "12541028",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000708900",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dylan Howe DC LLC
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• Family Medical Care Inc
• Jacqueline Farris, PSS
• Pamela Faulkner
• Kyle Fitzer
• Ali Fortner
• Cheri Lynne Foster, M. ED.
• Christopher Fraley, CASE MANAGER
• Brigette Fritz

• All providers in Greenup, KY
• Professional Counselor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2014; 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.