Individual provider Active NPI

Jennifer Louise Pettit, M. ED., LPCC

  • Counselor
  • Liberty Township, OH
National Provider Identifier
1033624259
Registry record updated May 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
E.1700345-SUPV Issued in OH
Practice address
7335 Yankee Rd Ste 100
Liberty Township, OH 45044-0007
Phone
(513) 336-6700
Fax
(513) 398-2109
NPI assigned
Dec 11, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X E.1700345-SUPV OH Primary

Addresses

Primary practice location

7335 Yankee Rd Ste 100
Liberty Township, OH 45044-0007

Mailing address

4111 Shaker Rd
Franklin, OH 45005-5064
Phone (740) 603-6079

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
E.1700345-SUPVOHMDCounselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1512950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778112000000",
    "number": "1033624259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4111 SHAKER RD",
            "city": "FRANKLIN",
            "state": "OH",
            "postal_code": "450055064",
            "telephone_number": "740-603-6079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7335 YANKEE RD STE 100",
            "city": "LIBERTY TOWNSHIP",
            "state": "OH",
            "postal_code": "450440007",
            "telephone_number": "513-336-6700",
            "fax_number": "513-398-2109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETTIT",
        "first_name": "JENNIFER",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "credential": "M. ED., LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-11",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "E.1700345-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Liberty Township, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.