LAURIE ALANE FITZGERALD (NPI# 1053482588) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053482588 |
| Entity Type | Individual |
| Full Name | LAURIE ALANE FITZGERALD |
| Practice Address |
11882 Tammy Way Ste 3 Grass Valley CA 95949-6621 |
| Mailing Address |
Po Box 632 Grass Valley CA 95945-0632 |
| Practice Telephone | 5304463175 |
| Mailing Telephone | 5304463175 |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2016-12-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 41461 | CA | Behavioral Health & Social Service Providers |
| Street Address |
11882 TAMMY WAY STE 3 |
| City | GRASS VALLEY |
| State | CA |
| Zip Code | 95949-6621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215280649 | John Kingsley Pollard IIi | Chiropractor | 10110 Alta Sierra Drive, Suite A, Grass Valley, CA 95949 | 2012-10-23 |
| 1083813455 | Carolyn Sue Stewart | Registered Nurse | 13397 Mccarter Way, Grass Valley, CA 95949 | 2007-07-16 |
| 1487859419 | Susanne T Bock | Chiropractor | 10370 King Way, Grass Valley, CA 95949 | 2007-06-19 |
| 1891917365 | Charis Youth Center | Residential Treatment Facility, Emotionally Disturbed Children | 17036 Bissell Place, Grass Valley, CA 95949 | 2007-05-03 |
| 1093856510 | John H. Stewart | Marriage & Family Therapist | 908 Taylorville Rd., Ste. 206, Grass Valley, CA 95949 | 2007-02-08 |
| 1427196245 | Nancy Kathleen Rarick | Marriage & Family Therapist | 10055 Wolf Rd Ste 4, Grass Valley, CA 95949 | 2007-02-02 |
| 1184726432 | Kathleen Brady | Chiropractor | 10110 Alta Sierra Dr., Suite A, Grass Valley, CA 95949 | 2006-09-05 |
| 1700997681 | Gayle M Crough | Nurse Practitioner | 10058 Wolf Road, Grass Valley, CA 95949 | 2006-08-31 |
| 1356451017 | Raleys Inc | Pharmacy | 692a Freeman Lane, Grass Valley, CA 95949 | 2006-08-30 |
| 1013985340 | Walter Scott Miller | Specialist | 10042 Wolf Road, Suite A, Grass Valley, CA 95949 | 2006-03-11 |
| Find all providers in zip 95949 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932740289 | Julie Quillen | Marriage & Family Therapist | 960 Mccourtney Rd Ste E, Grass Valley, CA 95949-7423 | 2019-10-07 |
| 1184288516 | Once Upon A Time Family Therapy Center | Marriage & Family Therapist | 696 Whiting St, Grass Valley, CA 95945-7543 | 2019-05-01 |
| 1679099733 | Windy Dipietro | Marriage & Family Therapist | 11753 Hidden Valley Rd, Grass Valley, CA 95949-8706 | 2017-08-20 |
| 1811387160 | California Mental Health | Marriage & Family Therapist | 120 N Auburn St, Ste 212, Grass Valley, CA 95945-6277 | 2015-01-26 |
| 1457754020 | Lovie Bucknell | Marriage & Family Therapist | 412 E Main St Ste D, Grass Valley, CA 95945-6533 | 2014-09-26 |
| 1538599337 | Brooke N Stone | Marriage & Family Therapist | 944 Mccourtney Rd Ste C, Grass Valley, CA 95949-7401 | 2013-11-15 |
| 1669733119 | Amelia C Gough | Marriage & Family Therapist | 960 Mccourtney Rd, Grass Valley, CA 95949-7422 | 2012-05-31 |
| 1679807465 | Jennifer Lynn Hoffman | Marriage & Family Therapist | 563 Brunswick Rd Ste 9, Grass Valley, CA 95945-9544 | 2009-09-25 |
| 1679702484 | Sierra Therese Sparks | Marriage & Family Therapist | 673 S Auburn St, Grass Valley, CA 95945-7576 | 2009-07-14 |
| 1740414846 | John Cox | Marriage & Family Therapist | 17183 Retrac Way, Christian Encounter Ministries, Grass Valley, CA 95949-9795 | 2009-05-05 |
| Find all providers in GRASS VALLEY | ||||
| City | GRASS VALLEY |
| Zip Code | 95949 |
Please comment or provide details below to improve the information on LAURIE ALANE FITZGERALD.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.