Kim Renee Jetter, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

PC007491 Issued in PA

Practice address

325 Street Rd
Southampton, PA 18966-3109

Phone

(215) 645-0338

Fax

(215) 709-3453

NPI assigned

Mar 25, 2025

Sex

Female

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

Practice roles

Locations

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.

• Jetter & Associates Counseling

  • Mental Health Counselor
  • Southampton, PA
  • NPI 1790467702
  NPD Authorized official

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

{
    "created_epoch": "1742860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742860800000",
    "number": "1508668294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 STREET RD",
            "city": "SOUTHAMPTON",
            "state": "PA",
            "postal_code": "189663109",
            "telephone_number": "215-645-0338",
            "fax_number": "215-709-3453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 STREET RD",
            "city": "SOUTHAMPTON",
            "state": "PA",
            "postal_code": "189663109",
            "telephone_number": "215-645-0338",
            "fax_number": "215-709-3453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JETTER",
        "first_name": "KIM",
        "middle_name": "RENEE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-25",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC007491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruth Jampol, PH.D.
• Jay Ann Shop, Inc
• Minu S Jerin
• Jesup Lithotripsy
• Jetter & Associates Counseling
• Dominique Showmaker Johnston, RD LDN
• Eric Desmond Jon, MD
• Dawn M Jones, RN NC-BC
• Michele Lauren Jones, M.ED.
• Heather J Jordan

• Mental Health Counselor in Southampton, PA
• Providers in Southampton, PA by specialty
• Mental Health Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.

Verify at the official NPI Registry.