Doug Fitzgerald
NPI 1417130600 · Mental Health Counselor · Vicksburg, MS
Enrolled with Medicare as Practitioner - Mental Health Counselor · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Doug Fitzgerald is a Mental Health Counselor provider in Vicksburg, MS (NPI 1417130600).
Provider details
- NPI number
- 1417130600
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-12-11
- Last updated
- 2007-12-11
Frequently asked questions
- What is Doug Fitzgerald's NPI number?
- Doug Fitzgerald's National Provider Identifier (NPI) is 1417130600, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Doug Fitzgerald's specialty?
- Doug Fitzgerald is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Doug Fitzgerald located?
- Doug Fitzgerald's practice location on file with NPPES is 3444 Wisconsin Ave, Vicksburg, MS 39180-5331.
- What is Doug Fitzgerald's phone number?
- The practice phone number listed in the NPPES registry for Doug Fitzgerald is (601) 638-0031.
- Does Doug Fitzgerald accept Medicare?
- Doug Fitzgerald is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Doug Fitzgerald's NPI active?
- Yes — Doug Fitzgerald's NPI (1417130600) is active in the NPPES registry as of the last update on 2007-12-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.