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Doug Fitzgerald

NPI 1417130600ActiveIndividual· Counselor, Mental Health· Vicksburg, MS

Counselor, Mental Health with Positive Pathways, LLC, practicing in Vicksburg, Mississippi. Enrolled in Medicare as practitioner - mental health counselor.

Overview

NPI1417130600
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedDec 11, 2007
Last updated in NPPESDec 11, 2007

Specialties and licenses

TaxonomyCodeLicenseState
Counselor, Mental Health Primary101YM0800X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Mental Health Counselor (MS)

Medicare sources and data years

Education and affiliations

Graduation year1995
Medicare specialtyMental Health Counselor

Medical group

Source: CMS Care Compare

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