Healthcare Provider Details

I. General information

NPI: 1225623416
Provider Name (Legal Business Name): AMANDA FITZGERALD M.A., LPC, NCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/09/2021
Last Update Date: 12/29/2025
Certification Date: 12/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1807 W 10TH ST
LOVELAND CO
80537-4426
US

IV. Provider business mailing address

1807 W 10TH ST
LOVELAND CO
80537-4426
US

V. Phone/Fax

Practice location:
  • Phone: 303-385-3957
  • Fax:
Mailing address:
  • Phone: 303-385-3957
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC.0015777
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number253176
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: