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

Jessica Rose Fitzgerald

Individual provider Mental Health Counselor · NPI 1871112888

Jessica Rose Fitzgerald is a Mental Health Counselor in Riverview, Florida. Qualified in 2021, 5 years ago. Practices with Brightside Health Inc, a 215-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
5
Licensed in
CA
In the registry since
2020
Specialties on file
3
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Practice location Address checks out

12204 Bass Oak Ct
Riverview, FL 33569-4738
Phone: (541) 633-0369
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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 10673 (CA)
Mental Health Counselor Taxonomy 101YM0800X
Professional Counselor Taxonomy 101YP2500X

Record details

NPI number1871112888
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 9, 2020
Last updated in NPPESMarch 26, 2025
Certification dateMarch 26, 2025

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Brightside Health Inc — 215 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Riverview