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

Jaime Johnson Fitzpatrick

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1508024837

Jaime Johnson Fitzpatrick is a Mental Health Counselor in Pinehurst, North Carolina. Qualified in 2009, 17 years ago. Practices with Verna Dority MSW Ccsw Inc, a 19-clinician group and accepts Medicare assignment. Licensed in North Carolina and New York.

Years since qualifying
17
Licensed in
NC, NY
In the registry since
2008
Specialties on file
3
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Practice location Address checks out

110 Applecross Rd Ste A2
Pinehurst, NC 28374-9843
Phone: (910) 420-3600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 10136 (NC)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 24183 (NY)
Mental Health Counselor Taxonomy 101YM0800X · Licence 004906 (NY)

Record details

NPI number1508024837
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 22, 2008
Last updated in NPPESApril 14, 2022
Certification dateApril 14, 2022
Mailing addressPo Box 9909, Fayetteville, NC 28311-9094

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Verna Dority Msw Ccsw Inc — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Pinehurst