DR. JOHN FITZGERALD (NPI# 1447784285) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447784285 |
| Entity Type | Individual |
| Full Name | DR. JOHN FITZGERALD |
| Credential | PHD, LPC, CAS |
| Practice Address |
450 5th St Suite E Lake Oswego OR 97034-3059 |
| Practice Telephone | 5033435666 |
| Mailing Telephone | 5033435666 |
| Enumeration Date | 2017-04-19 |
| Last Update Date | 2017-04-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | C-1322 | OR | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932769189 | John Fitzgerald | Dentist | 26 Bee Street Msc 507 Dental Clinic Room 550, Charleston, SC 29425-0001 | 2019-06-19 |
| 1679810329 | John M Fitzgerald | Pharmacist | 5473 Ne St James Dr, Port St Lucie, FL 34983 | 2013-01-14 |
| 1205111689 | John Everett Fitzgerald | Social Worker | 14 Wayaka Ln, Otisfield, ME 04270-6432 | 2011-10-17 |
| 1568603447 | John Fitzgerald | Chiropractor | 7355 Bermuda Island St, Las Vegas, NV 89123-1172 | 2009-03-23 |
| 1962624312 | John B Fitzgerald IIi | Dentist | 1201 W Swedesford Road, Berwyn, PA 19312 | 2007-05-03 |
| 1790815181 | John Alvin Fitzgerald | Pharmacist | 437 Main St., Jordan, MT 59337-0005 | 2007-03-06 |
| 1184642357 | John J Fitzgerald IIi | Obstetrics & Gynecology | 721 Arbor Way Ste 103, Blue Bell, PA 19422-1974 | 2006-07-17 |
| 1821056177 | John James Fitzgerald | Acupuncturist | 6450 1st Ave N, St Petersburg, FL 33710-8402 | 2006-05-03 |
| 1801861182 | John Michael Fitzgerald | Optometrist | 19000 Soledad Cyn Rd, Santa Clarita, CA 91351-3362 | 2006-02-21 |
| 1992324974 | John Dennis Fitzgerald | Pharmacist | 182 Market St Ste 2, Fort Kent, ME 04743-1514 | 2020-04-10 |
| Street Address |
450 5TH ST SUITE E |
| City | LAKE OSWEGO |
| State | OR |
| Zip Code | 97034-3059 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194377309 | Robin Donart | Case Manager/Care Coordinator | 2595 Christie Drive, Lake Oswego, OR 97034 | 2019-07-09 |
| 1740844539 | New Avenues for Youth | Clinic/Center | 2595 Christie Dr., Lake Oswego, OR 97034 | 2019-04-26 |
| 1366946451 | Kristy Car Makowichuk | Counselor | 630 B Avenue, Suite 9, Lake Oswego, OR 97034 | 2018-03-22 |
| 1861841504 | Soaring Crane Acuouncture LLC | Acupuncturist | 630 B Ave. #3, Lake Oswego, OR 97034 | 2016-06-03 |
| 1679945216 | Guru Sandesh Singh Khalsa | Naturopath | 630 B Avenue, Suite 3, Lake Oswego, OR 97034 | 2015-10-22 |
| 1902208846 | 360 Pediatric Psychology, PC | Clinical Neuropsychologist | 201 B Ave., Suite #285, Lake Oswego, OR 97034 | 2014-09-23 |
| 1275873309 | Sara Elizabeth Forrest | Social Worker | 2507 Christie Dr., Lake Oswego, OR 97034 | 2013-02-27 |
| 1982964631 | Catherine L Morris Daraee | Social Worker | 4040 Douglas Way, Lake Oswego, OR 97034 | 2012-05-29 |
| 1205105244 | Gail E. Barnard | Specialist/Technologist | 1260 Rockinghorse Ln, Lake Oswego, OR 97034 | 2011-12-20 |
| 1306099460 | Corinne Jarvis | Speech-Language Pathologist | 325 3rd Street, Lake Oswego, OR 97034 | 2008-11-02 |
| Find all providers in zip 97034 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952947079 | Robin Mcvay | Counselor | 14 Tanglewood Dr, Lake Oswego, OR 97035-1440 | 2019-11-24 |
| 1447766324 | Ann Dunlap Dewitt | Counselor | 14523 Westlake Dr Ste 5, Lake Oswego, OR 97035-7700 | 2017-12-14 |
| 1023269735 | Heather Mae Lokteff | Counselor | 4800 Sw Meadows Rd, Suite 300, Lake Oswego, OR 97035 | 2008-10-01 |
| 1316121676 | Jamie A Cassutt | Counselor | 12519 Sw Orchard Hill Rd, Lake Oswego, OR 97035-1116 | 2007-12-21 |
| 1942814025 | Ben Mosebach | Counselor | 14511 Westlake Dr, Lake Oswego, OR 97035-7783 | 2020-09-04 |
| 1770025942 | Emily Jo Heideman | Counselor | 2507 Christie Drive, Lake Oswego, OR 97034 | 2016-11-04 |
| 1780038109 | Janice M. Johnson Counseling | Counselor | 40 Mcnary Pkwy, Lake Oswego, OR 97035-1214 | 2016-04-21 |
| 1386009447 | Lee Doron | Counselor | 2507 Christie Drive, Lake Oswego, OR 97034 | 2015-12-16 |
| 1972706539 | Lauren Elizabeth Corder | Counselor | 445 2nd St, #210, Lake Oswego, OR 97034-3232 | 2007-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104427160 | Kristine Lee Jones | Counselor | 2628 Se 87th Ave, Portland, OR 97266-1530 | 2020-11-05 |
| 1629676259 | Amy Michelle Anderson | Counselor | 233 Sw Wilson Ave, Ste 201, Bend, OR 97702 | 2020-10-15 |
| 1619575354 | Erica Cross | Counselor | 2650 Suzanne Way Ste 120, Eugene, OR 97408-7619 | 2020-10-14 |
| 1811502636 | Sean Peter Christian Cavaghan | Counselor | 1900 Ne Hwy 99, Suite K, Mcminnville, OR 97128 | 2020-09-09 |
| 1932711322 | Rachel Wilson | Counselor | 1020 Se 7th Ave # 14283, Portland, OR 97214-2387 | 2020-08-18 |
| 1205447851 | Connect Restore Thrive Counseling Group | Counselor | 3845 Scotts Valley Dr, Klamath Falls, OR 97601-9395 | 2020-08-16 |
| 1285243121 | Becky Winters Counseling, LLC | Counselor | 2622 Sw Glacier Pl Ste 140, Redmond, OR 97756-7866 | 2020-07-27 |
| 1720606999 | Kenya Amos | Counselor | 8765 Sw Illahee Ct Apt 102, Wilsonville, OR 97070-8487 | 2020-07-13 |
| 1851919906 | Anjana Rajan | Counselor | Lifeworks Northwest, 14600 Nw Cornell Rd, Portland, OR 97229 | 2020-07-06 |
| 1235754912 | Miya Claborn | Counselor | 4495 Se Hwy 20, Corvallis, OR 97330 | 2020-06-09 |
| Find all providers with the same taxonomy | ||||
| City | LAKE OSWEGO |
| Zip Code | 97034 |
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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.