KELLIE FITZGIBBONS (NPI# 1306261102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306261102 |
| Entity Type | Individual |
| Full Name | KELLIE FITZGIBBONS |
| Credential | M.A,, LMFT |
| Practice Address |
1701 Stampede Ave Ste 205 Cody WY 82414-4818 |
| Mailing Address |
2208 Newton Ave Cody WY 82414-4432 |
| Practice Telephone | 3072508761 |
| Mailing Telephone | 3072508761 |
| Enumeration Date | 2014-03-03 |
| Last Update Date | 2017-01-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | LMFT-202 | WY | Behavioral Health & Social Service Providers |
| Street Address |
1701 STAMPEDE AVE STE 205 |
| City | CODY |
| State | WY |
| Zip Code | 82414-4818 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073969374 | Melody Griebel | Counselor | 3026 Hardpan Ave., Unit A, Cody, WY 82414 | 2016-05-05 |
| 1073856431 | Christopher David Rice | Orthopaedic Surgery | 720 Lindsay Ln Ste C, Cody, WY 82414 | 2013-04-03 |
| 1629322037 | William H. and Carrie Gottsche Foundation | Point of Service | 790 Lindsay Ln, Cody, WY 82414 | 2012-11-07 |
| 1831445162 | Ryan T Vincent | Physical Therapist | 1526 Rumsey Ave, Cody, WY 82414 | 2012-07-24 |
| 1952699043 | Angela Mae Marchant | Physical Therapist | 1819 Sheridan Ave., Cody, WY 82414 | 2011-07-11 |
| 1245556943 | Lori Grubbs Swanton | Physical Therapist | 1130 Sheridan Ave Ste 210, Cody, WY 82414 | 2010-04-20 |
| 1629304589 | Big Horn Basin Childrens Clinic PC | Pediatrics | 1220 Sunshine Ave Suite 101, Cody, WY 82414 | 2009-10-28 |
| 1851539043 | Laurie Dee Hipwell | Registered Nurse | 424 Yellowstone Ave Ste 320, Cody, WY 82414 | 2009-01-27 |
| 1790933356 | Cynthia Shook Ruth | Physical Therapist | 1302 Beck Ave. Suite E, Children's Resource Center, Cody, WY 82414 | 2008-09-08 |
| 1386818185 | Nancy Joy Simpson | Registered Nurse | 73 Green Creek, Cody, WY 82414 | 2008-04-14 |
| Find all providers in zip 82414 | ||||
| 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 |
|---|---|---|---|---|
| 1750637393 | John Darris Ellis | Marriage & Family Therapist | Yellowstone Behavioral Health 2538 Big Horn Ave, Cody Office, Cody, WY 82414-9299 | 2012-08-01 |
| 1417349226 | Linda Trask | Marriage & Family Therapist | 2538 Big Horn Ave, Cody, WY 82414-9299 | 2015-03-03 |
| 1851525521 | Shaun Robin Balch | Marriage & Family Therapist | 2538 Big Horn Ave, Cody, WY 82414-9299 | 2009-05-11 |
| 1013157197 | Christine Esposito | Marriage & Family Therapist | 2538 Big Horn Ave, Cody, WY 82414-9299 | 2009-03-02 |
| 1912147299 | Judson C Mckee | Marriage & Family Therapist | 2538 Big Horn Ave, Suite #2, Cody, WY 82414-9299 | 2009-02-26 |
| 1982842977 | Tamara Danielle Ryan | Marriage & Family Therapist | 2538 Big Horn Ave, Cody, WY 82414-9299 | 2009-01-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043854888 | Wayne Kenneth Mcpherson Jr. | Marriage & Family Therapist | 512 W. Lott, Buffalo, WY 82834-1336 | 2019-11-05 |
| 1700341914 | Heidi Christine Somers | Marriage & Family Therapist | 330 N Glenwood St, Jackson, WY 83001-8765 | 2019-02-01 |
| 1275067811 | High Point Counseling | Marriage & Family Therapist | 2632 Foothill Blvd Ste 101, Rock Springs, WY 82901-4757 | 2017-04-19 |
| 1770939928 | Allison Felker | Marriage & Family Therapist | 4720 Spur Dr, Cheyenne, WY 82001-6493 | 2016-05-06 |
| 1477934586 | Auburn Amanda Robertson | Marriage & Family Therapist | 1013 Sage St, Evanston, WY 82930-3448 | 2015-06-15 |
| 1003238718 | Jessica Zamudio Bright | Marriage & Family Therapist | 1800 Edinburgh Street, Rawlins, WY 82301 | 2014-01-15 |
| 1366797896 | Robin K. Voigt, LLC | Marriage & Family Therapist | 405 West Boxelder Rd, C8, Gillette, WY 82718-5320 | 2012-07-20 |
| 1386947877 | Deann Fox | Marriage & Family Therapist | 1775 Spring Creek Rd, Cheyenne, WY 82009-8846 | 2010-12-06 |
| 1245544204 | Kristina Marie Leslie | Marriage & Family Therapist | 3907 Chippewa Ave, Gillette, WY 82718-6674 | 2010-08-02 |
| 1003134628 | Amy M. Sennett | Marriage & Family Therapist | 748 Main St., Lander, WY 82520 | 2010-05-06 |
| 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.