Individual provider Active NPI

Jennifer Kita, LPC

  • Addiction (Substance Use Disorder) Counselor
  • Canonsburg, PA
National Provider Identifier
1083140834
Registry record updated Dec 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
PC007423 Issued in PA
Practice address
1200 Ashwood Dr
Canonsburg, PA 15317-4982
Phone
(724) 884-0466
NPI assigned
May 11, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X PC007423 PA Primary

Addresses

Primary practice location

1200 Ashwood Dr
Canonsburg, PA 15317-4982

Mailing address

1200 Ashwood Dr
Canonsburg, PA 15317-4982
Phone (724) 884-0466

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240423002854 PA Practitioner - Mental Health Counselor 2860841236 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Psychotherapy Associates, IncGroup PAC ID 4082745948, 6 clinicians

Practice addresses (Care Compare)

1195 Washington Pike
Suite 300
Bridgeville, PA 15017-2829
Phone (724) 884-0466

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Psychotherapy Associates, Inc. CurrentSince Jan 1, 2024 Accepting new patients

Locations

1195 Washington Pike
Ste 300
Bridgeville, PA 15017
Phone (412) 589-9897

1195 Washington Pike
Bridgeville, PA 15017

1200 Ashwood Dr
Ste 1201
Canonsburg, PA 15317
Phone (724) 884-0466

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638489600000",
    "number": "1083140834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 ASHWOOD DR",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153174982",
            "telephone_number": "724-884-0466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 ASHWOOD DR",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153174982",
            "telephone_number": "724-884-0466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KITA",
        "first_name": "JENNIFER",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-11",
        "last_updated": "2021-12-03",
        "certification_date": "2021-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "PA",
            "license": "PC007423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canonsburg, PA

Sources for this page

Verify at the official NPI Registry.