Andrew David Kitzmiller, LPC-MHSP

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2494 Issued in TN

Practice address

1730 Old Gray Station Rd
Johnson City, TN 37615-3869

Phone

(423) 202-3008

Fax

(423) 202-7835

NPI assigned

Oct 8, 2009

Last updated

May 15, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

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

Specialty

Mental Health Counselor

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Emmaus Medical and Counseling, PLLCGroup PAC ID 1153673389, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Emmaus Medical and Counseling, PLLC

  • Addiction Medicine (Internal Medicine) Physician
  • Bulls Gap, TN
  • NPI 1598256117
  Medicare reassignment Care Compare group NPD
• Foundation Medical, Inc.

  • Addiction Medicine (Family Medicine) Physician
  • Johnson City, TN
  • NPI 1336636158
  NPD
• Camelot Care Centers

  • Community/Behavioral Health Agency
  • Kingsport, TN
  • NPI 1700086725
  NPD (past)
• Family Preservation Services LLC

  dba Clarvida

  • Community/Behavioral Health Agency
  • Roanoke, VA
  • NPI 1093891335
  NPD (past)
• Scott County Drug

  • Community/Retail Pharmacy
  • Weber City, VA
  • NPI 1538235296
  NPD (past)

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

{
    "created_epoch": "1254960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778803200000",
    "number": "1528393550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1730 OLD GRAY STATION RD",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376153869",
            "telephone_number": "423-202-3008",
            "fax_number": "423-202-7835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 OLD GRAY STATION RD",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376153869",
            "telephone_number": "423-202-3008",
            "fax_number": "423-202-7835"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "273 Highway 11 E Ste E",
            "address_purpose": "LOCATION",
            "city": "Bulls Gap",
            "state": "TN",
            "postal_code": "377113434",
            "country_code": "US",
            "telephone_number": "423-393-4377",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2834 US Highway 23 N",
            "address_purpose": "LOCATION",
            "city": "Weber City",
            "state": "VA",
            "postal_code": "242907085",
            "country_code": "US",
            "telephone_number": "276-885-0190",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KITZMILLER",
        "first_name": "ANDREW",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "LPC-MHSP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-10-08",
        "last_updated": "2026-05-15",
        "certification_date": "2026-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "2494",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q022368",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle B Kirby, LCSW
• Seth Lee Kirby
• Hannah P Kirk, PA-C
• David Louis Kirschke, MD
• Andrea Nichole Kiser, SLP
• Kristen Elizabeth Klem
• Timothy Philip Klepper, M.D.
• Kathryn Jean Klopfenstein, MD
• Lance A Klosterman, M.D.
• David Andrew Knechtel, PA

• Professional Counselor in Johnson City, TN
• Providers in Johnson City, TN by specialty
• Professional Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.