JOHN LANELL FITZPATRICK AAC, CPC
NPI 1861086241
Peer Specialist in Longview, WA

Q: What is John Fitzpatrick's NPI number?

The NPI number for John Fitzpatrick is 1861086241. It was assigned to this individual provider in the NPPES registry on February 25, 2021.

Q: What is John Fitzpatrick's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

Q: When was this NPI record last updated?

The NPPES record for John Fitzpatrick was last updated on January 6, 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.

Active since February 25, 2021

1408 12TH AVE, LONGVIEW, WA 98632(360) 998-3050(360) 200-6736 Get Directions Write a Review

NPPES record last updated: January 6, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 6, 2022, Feb 25, 2021 (2 updates tracked since 2021).

On this page

About John Lanell Fitzpatrick Aac, Cpc NPPES

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

JOHN LANELL FITZPATRICK AAC, CPC (NPI 1861086241) is an individual peer specialist in Longview, Washington, licensed in Washington (CG61163067) and active in the NPI registry since February 2021.

NPPES Registry Identity

NPI1861086241

Entity TypeIndividualMale

Primary Taxonomy175T00000X

Provider Legal NameJOHN LANELL FITZPATRICKCredential: AAC, CPC

Location Address1408 12TH AVELongview, WA 98632-3822

Mailing AddressPo Box 2394Longview, WA 98632-8455 · (360) 200-5419 · Fax (360) 200-6736

Phone(360) 998-3050

Fax(360) 200-6736

Sole ProprietorNo

Enumeration DateFebruary 25, 2021

Last NPPES UpdateJanuary 6, 20222 updates tracked since enumeration

NPPES CertifiedJanuary 6, 2022

✔ NPI 1861086241 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPeer SpecialistOther Service Providers

Taxonomy Code175T00000X

License✔ Licensed in WA · CG61163067

Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Also ListedCounselorTaxonomy 101Y00000X

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X

1408 12TH AVE, Longview, WA 98632

Open in Google Maps ↗

Other Identifiers 1

Medicaid2176426WA

Other Providers at the Same Location NPPES 20

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

WHITNEY ROBERTS AAS, AAC

Counselor