Cheyann Rose Fitzgerald-Cooper
Counselor, Addiction (Substance Use Disorder) in Grants Pass, OR. Individual provider (NPI-1).
NPI number1295523744
StatusActive
Last updated in NPPESApr 25, 2025
Details
- NPI
- 1295523744
- Entity type
- Individual (NPI-1)
- Name
- Cheyann Rose Fitzgerald-Cooper
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 25, 2025
- Certification date
- Apr 25, 2025
- Last updated
- Apr 25, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – | Yes |
Practice location
205 Fruitdale DrGrants Pass, OR 97527-5267
Phone 541-476-2373
Mailing address
1215 Sw G StGrants Pass, OR 97526-2544
Phone 541-476-2373
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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