Active NPI
Judith L. Pitlick, M.A., L.P.C.C.
- Mental Health Counselor
- Shaker Heights, OH
National Provider Identifier
1124247994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- E-0000568
- Practice address
- 19910 Malvern Rd
Shaker Heights, OH 44122-2823 - Phone
- (216) 991-4472
- NPI assigned
- Apr 24, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | E-0000568 | OH | Primary |
| Psychoanalyst | 102L00000X | E-0000568 | OH |
Addresses
Primary practice location
19910 Malvern Rd
Shaker Heights, OH 44122-2823
Mailing address
2593 Canterbury Rd
Cleveland Heights, OH 44118-4360
Phone (216) 932-2422
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000361477 | Other | OH | BCBS NUMBER |
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-0000568 | OH | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1124247994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2593 CANTERBURY RD",
"city": "CLEVELAND HEIGHTS",
"state": "OH",
"postal_code": "441184360",
"telephone_number": "216-932-2422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19910 MALVERN RD",
"city": "SHAKER HEIGHTS",
"state": "OH",
"postal_code": "441222823",
"telephone_number": "216-991-4472"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PITLICK",
"first_name": "JUDITH",
"middle_name": "L.",
"name_prefix": "Ms.",
"credential": "M.A., L.P.C.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-24",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "E-0000568",
"primary": true
},
{
"code": "102L00000X",
"taxonomy_group": "",
"desc": "Psychoanalyst",
"state": "OH",
"license": "E-0000568",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS NUMBER",
"identifier": "000000361477",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Shaker Heights, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.