MARY DORIS FITZGERALD
NPI 1124395306
Counselor - Mental Health in Douglas, AK
About Mary Doris Fitzgerald NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY DORIS FITZGERALD (NPI 1124395306) is an individual mental health provider in Douglas, Alaska, licensed in Alaska (802) and active in the NPI registry since November 2011. She has opted out of Medicare through December 9, 2026 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Mary Doris 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 December 9, 2024 through December 9, 2026.
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 Mary Fitzgerald's NPI number?
The NPI number for Mary Fitzgerald is 1124395306. It was assigned to this individual provider in the NPPES registry on November 16, 2011.
Where is Mary Fitzgerald located?
Mary Fitzgerald practices at 2130 Lawson Creek Rd, Douglas, AK 99824. The listed phone number is (801) 860-4439.
What is Mary Fitzgerald's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Mary Fitzgerald enrolled in Medicare?
No. Mary Fitzgerald has opted out of Medicare through December 9, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
What insurance does Mary Fitzgerald accept?
Health plans from Premera Blue Cross Blue Shield of Alaska list Mary Fitzgerald as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Mary Fitzgerald was last updated on October 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.
# Mary Doris Fitzgerald · NPI 1124395306
Mental Health provider in Douglas, Alaska. Individual provider, active in the CMS NPPES registry since November 16, 2011.
## Identity
- **NPI:** 1124395306 (Entity type: Individual)
- **Enumerated:** November 16, 2011
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 802 (Alaska)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2130 LAWSON CREEK RD, Douglas, AK 99824-5010
- **Phone:** (801) 860-4439
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through December 9, 2026); services are provided under private contract
## Record status
- **NPPES last updated:** October 17, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1124395306) · Data from the CMS NPPES public registry.