Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1861086241 Individual Practitioner Male Practitioner

John Lanell Fitzpatrick , AAC, CPC

Peer Specialist • Longview, WA

Professional Overview & Biography Verified Profile Summary

John Fitzpatrick, AAC, CPC is a registered healthcare professional specializing in Peer Specialist in Longview, WA. Practice services are available at 1408 12TH AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1408 12th Ave

Longview, WA 986323822

Telephone 3609983050
Fax 3602006736
Associated Practice Facility / Clinic
🏢 Core Health Facility NPI 1639693781

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Longview, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
107 Specialists

Practicing in Longview, WA (2660 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-01-06
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

State License WA CG61163067

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.

Counselor

NUCC Taxonomy Code: 101Y00000X

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Case Manager/Care Coordinator

NUCC Taxonomy Code: 171M00000X

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
2176426 (WA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Kirt Lane , CPC

Peer Specialist

NPI 1013541341
Rachel Gaines , SUDP

Counselor - Addiction (Substance Use Disorder)

NPI 1013655760
NPI 1043069107

Bachelor of Science, RAAC

NPI 1043844095
NPI 1043919145
NPI 1063933406

Master of Social Work, LICSWA, SUDP

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location January 06, 2022

Registered at 1408 12TH AVE, LONGVIEW, WA 986323822 (Tel: 3609983050)

👤
Provider Name / Credentials Updated January 06, 2022

Recorded as JOHN FITZPATRICK, AAC, CPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 06, 2022

Counselor

NPI Profile Active February 25, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location February 25, 2021

Registered at 748 14TH AVE, LONGVIEW, WA 986322315 (Tel: 3602005419)

📍
Updated Business Mailing Address February 25, 2021

Registered at PO BOX 2394, LONGVIEW, WA 986328455 (Tel: 3602005419)

👤
Provider Name / Credentials Updated February 25, 2021

Recorded as JOHN FITZPATRICK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 25, 2021

Case Manager/Care Coordinator

🟢
Initial NPI Registration & Enumeration February 25, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1861086241
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 25, 2021
Last Update: January 06, 2022
Sole Proprietor: No

Mailing Address

Po Box 2394

Longview, WA 986328455

Phone: 3602005419

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.