Paul E Kitzmiller II, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

C.2002584 Issued in OH

Practice address

580 Buchloe Dr
Marysville, OH 43040-2594

Phone

(614) 306-8907

NPI assigned

Oct 26, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1666742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666742400000",
    "number": "1225755614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4050 EXECUTIVE PARK DR STE 350",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452412077",
            "telephone_number": "937-303-7198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 BUCHLOE DR",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430402594",
            "telephone_number": "614-306-8907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KITZMILLER",
        "first_name": "PAUL",
        "middle_name": "E",
        "name_suffix": "II",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-26",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C.2002584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lynn Kile
• Breanna Kinn
• Abby Kinstle
• Cheryl K Kirkby, MD
• Kara Kish, PHARMD
• John Edward Kleinman
• Keren Grace Knapp, COTA/L
• Kenneth Lance Knickerbocker, D.O.
• Jaclyn Koester
• Luke Robert Kontras, PT, DPT

• Mental Health Counselor in Marysville, OH
• Providers in Marysville, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2022; 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.