COLLEEN FITZGERALD
NPI 1083146625
Counselor - Professional in Washington, DC

Active since April 02, 2017Opted out of Medicare · through Apr 10, 2028
2639 CONNECTICUT AVE NW, SUITE 251, WASHINGTON, DC 20008(202) 681-4374 Get Directions Write a Review

NPPES record last updated: April 2, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Colleen Fitzgerald NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COLLEEN FITZGERALD (NPI 1083146625) is an individual professional provider in Washington, District Of Columbia, licensed in District Of Columbia (LGPC00087) and active in the NPI registry since April 2017. She has opted out of Medicare through April 10, 2028.

NPPES Registry Identity

NPI1083146625
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameCOLLEEN FITZGERALD
Location Address2639 CONNECTICUT AVE NW, SUITE 251Washington, DC 20008-1537
Mailing Address5102 Flanders AveKensington, MD 20895-1135 · (202) 641-8113
Sole ProprietorNo
Enumeration DateApril 2, 2017
NPI 1083146625 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses Licensed in DC · LGPC00087 Licensed in MD · LGP6561
2639 CONNECTICUT AVE NW, Washington, DC 20008

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Colleen Fitzgerald has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 10, 2024 through April 10, 2028.

Opt-Out Effective DateApril 10, 2024
Opt-Out In Effect ThroughApril 10, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Acupuncturist
2639 CONNECTICUT AVE NW
WASHINGTON, DC 20008
Clinic/Center (Health Service)
2639 CONNECTICUT AVE NW, SUITE 251
WASHINGTON, DC 20008
Nurse Practitioner (Family)
2639 CONNECTICUT AVE NW, C-100
WASHINGTON, DC 20008
Social Worker (Clinical)
2639 CONNECTICUT AVE NW, SUITE 251
WASHINGTON, DC 20008
Acupuncturist
2639 CONNECTICUT AVE NW, SUITE C-101
WASHINGTON, DC 20008
Specialist
2639 CONNECTICUT AVE NW, SUITE C-100
WASHINGTON, DC 20008
Counselor (Mental Health)
2639 CONNECTICUT AVE NW
WASHINGTON, DC 20008
Counselor (Professional)
2639 CONNECTICUT AVE NW, SUITE 251
WASHINGTON, DC 20008

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Colleen Fitzgerald's NPI number?

The NPI number for Colleen Fitzgerald is 1083146625. It was assigned to this individual provider in the NPPES registry on April 2, 2017.

Where is Colleen Fitzgerald located?

Colleen Fitzgerald practices at 2639 Connecticut Ave NW Suite 251, Washington, DC 20008. The listed phone number is (202) 681-4374.

What is Colleen Fitzgerald's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Colleen Fitzgerald enrolled in Medicare?

No. Colleen Fitzgerald has opted out of Medicare through April 10, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Colleen Fitzgerald was last updated on April 2, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.