MARY FITZGIBBONS PH.D
NPI 1679752562
Psychologist - Counseling in Saint Louis, MO

Active since October 29, 2007PECOS EnrolledAccepts Medicare Assignment
12125 WOODCREST EXECUTIVE DR, SAINT LOUIS, MO 63141(314) 275-8599 Get Directions Write a Review

NPPES record last updated: October 30, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mary Fitzgibbons Ph.d NPPES

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

MARY FITZGIBBONS PH.D (NPI 1679752562) is an individual counseling provider in Saint Louis, Missouri, licensed in Missouri (00944) and active in the NPI registry since October 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1983).

NPPES Registry Identity

NPI1679752562
Entity TypeIndividualFemale
Primary Taxonomy103TC1900X
Provider Legal NameMARY FITZGIBBONSCredential: PH.D
Location Address12125 WOODCREST EXECUTIVE DRSaint Louis, MO 63141-5001
Mailing Address12125 Woodcrest Executive DrSaint Louis, MO 63141-5001 · (314) 275-8599
Sole ProprietorYes
Medical School CMSOtherGraduated 1983
Enumeration DateOctober 29, 2007
Last NPPES UpdateOctober 30, 2007
NPI 1679752562 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · CounselingBehavioral Health & Social Service Providers
Taxonomy Code103TC1900X
License Licensed in MO · 00944
Definition

A psychologist who specializes in general practice and health service. It focuses on how people function both personally and in their relationships at all ages. Counseling psychology addresses the emotional, social, work, school and physical health concerns people may have at different stages in their lives, focusing on typical life stresses and more severe issues with which people may struggle as individuals and as a part of families, groups and organizations. Counseling psychologists help people with physical, emotional and mental health issues improve their sense of well-being, alleviate feelings of distress and resolve crises. They also provide assessment, diagnosis, and treatment of more severe psychological symptoms.

12125 WOODCREST EXECUTIVE DR, Saint Louis, MO 63141

Other Identifiers 1

Medicare PINMFIT2131MO

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mary Fitzgibbons Ph.d is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1951595925
PECOS Enrollment IDI20101103001006
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization dataset. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
195 services13 patients

Other Providers at the Same Location NPPES 10

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

Counselor (Mental Health)
12125 WOODCREST EXECUTIVE DR, SUITE 110
SAINT LOUIS, MO 63141
Internal Medicine
12125 WOODCREST EXECUTIVE DR, SUITE 220
SAINT LOUIS, MO 63141
Social Worker (Clinical)
12125 WOODCREST EXECUTIVE DR, SUITE 110
SAINT LOUIS, MO 63141
Social Worker (Clinical)
12125 WOODCREST EXECUTIVE DR
SAINT LOUIS, MO 63141
Psychologist
12125 WOODCREST EXECUTIVE DR
SAINT LOUIS, MO 63141
Social Worker (Clinical)
12125 WOODCREST EXECUTIVE DR, SUITE 110
SAINT LOUIS, MO 63141
Counselor
12125 WOODCREST EXECUTIVE DR, SUITE 110
SAINT LOUIS, MO 63141
Internal Medicine
12125 WOODCREST EXECUTIVE DR, SUITE 220
SAINT LOUIS, MO 63141

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1679752562, enumerated as an "individual" on October 29, 2007.

The provider is located at 12125 WOODCREST EXECUTIVE DR SAINT LOUIS, MO 63141 and the phone number is (314) 275-8599.

Psychologist with taxonomy code 103TC1900X and a focus in Counseling.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.