KEVIN EVERETT FITZMAURICE M.S. NPI 1194742817

NPI Information

  • NPI: 1194742817
  • Provider Name: KEVIN EVERETT FITZMAURICE, M.S.
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 3323 N 109TH PLZ
    OMAHA, NE
    ZIP 68164
  • Phone: (402) 573-7277

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NPI Details

Kevin Everett Fitzmaurice, M.S. is a mental health counselor in Omaha, NE. Kevin Everett Fitzmaurice, M.S. NPI is 1194742817. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3323 N 109TH PLZ
OMAHA, NE
ZIP 68164-908
Phone: (402) 573-7277
Fax: (402) 573-7360

The enumeration date for this NPI number is 7/17/2006 and was last updated on 7/9/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental Health00050IOWANo
2101YM0800XCounselorMental Health745NEBRASKAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1266317FIMEDICARE ID-TYPE UNSPECIFIEDNEBRASKAMEDICARE NUMBER
200050OTHERIOWALICENSED MENTAL HEALTH
333408OTHERNEBRASKACCMHC
433408OTHERNEBRASKANCC
5745OTHERNEBRASKAMENTAL HEALTH PRACTITIONE
6800OTHERNEBRASKACERTIFIED PROFESSIONAL CO
710025178600MEDICAIDNEBRASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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