Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Doug Fitzgerald

Individual provider Mental Health Counselor · NPI 1417130600

Doug Fitzgerald is a Mental Health Counselor in Vicksburg, Mississippi. Qualified in 1995, 31 years ago. Practices with Positive Pathways, LLC, a 10-clinician group and accepts Medicare assignment.

Years since qualifying
31
In the registry since
2007
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Practice location Address checks out

3444 Wisconsin Ave
Vicksburg, MS 39180-5331
Phone: (601) 638-0031
Fax: (601) 638-4950
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1417130600
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 11, 2007
Last updated in NPPESDecember 11, 2007
Mailing address3444 Wisconsin Ave, Vicksburg, MS 39180-5331

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Group practice Positive Pathways, Llc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Vicksburg