Healthcare Provider Details

I. General information

NPI: 1316698418
Provider Name (Legal Business Name): REID FITZSIMONS LMHC, LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MEREDITH FITZSIMONS LMHC, LPCC

II. Dates (important events)

Enumeration Date: 01/11/2022
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

418 BROADWAY # 8223
ALBANY NY
12207-2922
US

IV. Provider business mailing address

PO BOX 1183
SOUTH PASADENA CA
91031-1183
US

V. Phone/Fax

Practice location:
  • Phone: 917-426-4014
  • Fax:
Mailing address:
  • Phone: 913-558-1051
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberP107340
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: