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MARY THERESA FITZGERALD LMFT
NPI 1154078640
Marriage & Family Therapist in Philadelphia, PA

Active since March 04, 2022PECOS Enrolled
6060 RIDGE AVE STE 210, PHILADELPHIA, PA 19128(215) 290-2634 Get Directions Write a Review

NPPES record last updated: March 4, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mary Theresa Fitzgerald Lmft NPPES

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

MARY THERESA FITZGERALD LMFT (NPI 1154078640) is an individual marriage & family therapist in Philadelphia, Pennsylvania, licensed in Pennsylvania (MF001385) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154078640
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMARY THERESA FITZGERALDCredential: LMFT
Location Address6060 RIDGE AVE STE 210Philadelphia, PA 19128-1660
Mailing Address6060 Ridge Ave Ste 210Philadelphia, PA 19128-1660 · (215) 290-2634
Phone(215) 290-2634
Sole ProprietorYes
Enumeration DateMarch 4, 2022
NPPES CertifiedMarch 4, 2022
✔ NPI 1154078640 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in PA · MF001385
Definition
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.
6060 RIDGE AVE STE 210, Philadelphia, PA 19128
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Theresa Fitzgerald Lmft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

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

AMY MOULTON MA, LPC
Counselor
6060 RIDGE AVE STE 210
PHILADELPHIA, PA 19128
Philadelphia County (267) 627-4610

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 Theresa Fitzgerald's NPI number?

The NPI number for Mary Theresa Fitzgerald is 1154078640. It was assigned to this individual provider in the NPPES registry on March 4, 2022.

Where is Mary Theresa Fitzgerald located?

Mary Theresa Fitzgerald practices at 6060 Ridge Ave Ste 210, Philadelphia, PA 19128. The listed phone number is (215) 290-2634.

What is Mary Theresa Fitzgerald's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Mary Theresa Fitzgerald enrolled in Medicare?

Yes. Mary Theresa Fitzgerald is registered in the Medicare PECOS enrollment system.

What insurance does Mary Theresa Fitzgerald accept?

Health plans from Providence Health Plan list Mary Theresa 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 Theresa Fitzgerald was last updated on March 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.