Individual provider Active NPI

Jessica Kitchin, LICDC-CS, LPCC

  • Professional Counselor
  • Maumee, OH
National Provider Identifier
1144799370
Registry record updated Feb 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E.2505446 Issued in OH
Practice address
2211 River Rd
Maumee, OH 43537-3637
Phone
(419) 724-2264
NPI assigned
Nov 16, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LICDC.161877 OH
Professional Counselor 101YP2500X E.2505446 OH Primary

Addresses

Primary practice location

2211 River Rd
Maumee, OH 43537-3637

Mailing address

129 N Locust St
Oak Harbor, OH 43449-1359
Phone (419) 707-9498

Other practice location 1

129 N Locust St
Oak Harbor, OH 43449-1359
Phone (419) 707-9498

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

State licenses

LicenseStateTypeSpecialty
LICDC.161877OHMDAddiction (Substance Use Disorder) Counselor
E.2505446OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Serenity in Sobriety, LLC Addiction (Substance Use Disorder) Current Accepting new patients

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": "1542326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771891200000",
    "number": "1144799370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 N LOCUST ST",
            "city": "OAK HARBOR",
            "state": "OH",
            "postal_code": "434491359",
            "telephone_number": "419-707-9498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 RIVER RD",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435373637",
            "telephone_number": "419-724-2264"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "129 N Locust St",
            "address_purpose": "LOCATION",
            "city": "Oak Harbor",
            "state": "OH",
            "postal_code": "434491359",
            "country_code": "US",
            "telephone_number": "419-707-9498",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KITCHIN",
        "first_name": "JESSICA",
        "credential": "LICDC-CS, LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-16",
        "last_updated": "2026-02-24",
        "certification_date": "2026-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "LICDC.161877",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.2505446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maumee, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.