LISE FITZGERALD (NPI# 1891295218) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891295218 |
| Entity Type | Individual |
| Full Name | LISE FITZGERALD |
| Credential | LPC |
| Practice Address |
3910 Old Buckingham Rd Powhatan VA 23139-5757 |
| Mailing Address |
3910 Old Buckingham Rd Ste A Powhatan VA 23139-5757 |
| Practice Telephone | 8045982200 |
| Mailing Telephone | 8045982200 |
| Enumeration Date | 2018-02-13 |
| Last Update Date | 2019-12-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
0701007404 | VA | Behavioral Health & Social Service Providers |
| Street Address |
3910 OLD BUCKINGHAM RD |
| City | POWHATAN |
| State | VA |
| Zip Code | 23139-5757 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952357261 | Nancy H Hakala | Physical Therapist | 3910 Old Buckingham Rd, Powhatan, VA 23139-5719 | 2006-05-26 |
| 1659906402 | Kristine Vassar | Social Worker | 3910 Old Buckingham Rd, Powhatan, VA 23139-5757 | 2020-03-11 |
| 1265489082 | Betty J Manasco | Speech-Language Pathologist | 3910 Old Buckingham Rd, Powhatan, VA 23139-5719 | 2006-05-27 |
| 1326094418 | Erin Tierney-butler | Counselor | 3910 Old Buckingham Rd, Powhatan, VA 23139-5719 | 2006-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932521432 | Robin M Duncan | Nurse Practitioner | 5809 Anderson Hwy, Powhatan, VA 23139 | 2014-01-17 |
| 1326302563 | Albert Gordon Pavalonis | Surgery | 1735 Calais Trail, Powhatan, VA 23139 | 2012-07-03 |
| 1306107461 | Scitest Laboratories Inc | Clinical Medical Laboratory | 1551 Oakbridge Drive, Suite A, Powhatan, VA 23139 | 2012-06-06 |
| 1528365459 | Stephen Siewers Johnson | Social Worker | 1480 Oakbridge Ct., Powhatan, VA 23139 | 2011-02-11 |
| 1609004571 | Tidewater Physical Therapy, LLC | Occupational Therapist | 3510 Anderson Hwy, Suite 2, Powhatan, VA 23139 | 2009-06-30 |
| 1699912816 | Powhatan Gentle Dentistry | Health Maintenance Organization | 2105 Academy Road, Suite J, Powhatan, VA 23139 | 2009-01-09 |
| 1902932387 | Mary Therese Shepperson | Pharmacist | 1800 South Creek One Suite L, Powhatan, VA 23139 | 2007-02-27 |
| 1841383627 | Ernest Tracy Spaur | Dentist | 3852 Old Buckingham Rd, Powhatan, VA 23139 | 2006-10-02 |
| 1700987419 | Alpha Counseling Asso Pllc | Social Worker | 2142 Plainview Center, Powhatan, VA 23139 | 2006-09-26 |
| 1073565289 | Barbara M. Prillaman | Family Medicine | 3510-a Anderson Hwy., Powhatan, VA 23139 | 2006-05-16 |
| Find all providers in zip 23139 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477675064 | Wanda A. Crockett Pllc | Counselor | 1480 Oak Bridge Ct, Powhatan, VA 23139-8054 | 2007-04-04 |
| 1477196020 | Sarah Melton Knable | Counselor | 1685 Anderson Hwy, Powhatan, VA 23139-8048 | 2019-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962464 | Stefanie Newman | Counselor | 2340 Commonwealth Dr Fl 1, Charlottesville, VA 22901-1634 | 2020-11-06 |
| 1790385672 | Katlyn Nunley | Counselor | 620 Park Ave Nw, Norton, VA 24273-1922 | 2020-10-29 |
| 1972103018 | Jessica Alaine Whittle | Counselor | 1488 Claiborne St, Danville, VA 24540-3150 | 2020-10-28 |
| 1326648486 | Sara Wood | Counselor | 1021 Eden Way N Ste 123, Chesapeake, VA 23320-2776 | 2020-10-28 |
| 1871192336 | Jessie Lewis-crosby | Counselor | 3022 Camp Overlook Ln, Keezletown, VA 22832-2209 | 2020-10-25 |
| 1356940910 | Celeste Suzann Cantees | Counselor | 1008 Pendleton St, Alexandria, VA 22314-2286 | 2020-10-23 |
| 1023617396 | Jennifer Nicole Freeman | Counselor | 3101 Wilson Blvd, Arlington, VA 22201-4443 | 2020-10-19 |
| 1780282558 | Ashley Groeper | Counselor | 1657 W Broad St Unit 3a, Richmond, VA 23220-2153 | 2020-10-14 |
| 1942808845 | Todd Alan Gearheart | Counselor | 102 Goose Creek Ter, Thaxton, VA 24174-3010 | 2020-10-13 |
| 1922606946 | Elaine Zagami | Counselor | 1406 Gentry Ln Unit B, Charlottesville, VA 22903-1320 | 2020-10-12 |
| Find all providers with the same taxonomy | ||||
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| 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.