Jithin Vijayan, MA, LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

E.2404286 Issued in OH

Practice address

204 Lookout Dr
Oakwood, OH 45419-3812

Phone

(937) 443-7019

Fax

(937) 353-9386

NPI assigned

Dec 18, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Jeeva Counseling, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Oakwood, OH
  • NPI 1962182121

  Professional

  NPD Authorized official
• Summit Psychological Services

  • Psychologist
  • Pittsburgh, PA
  • NPI 1447555347

  Mental Health

  NPD (past)
• The Circulatory Center of PA, Inc.

  • Family Medicine Physician
  • Pittsburgh, PA
  • NPI 1053319871
  NPD (past)

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

{
    "created_epoch": "1545091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719705600000",
    "number": "1578035325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 LOOKOUT DR",
            "city": "OAKWOOD",
            "state": "OH",
            "postal_code": "454193812",
            "telephone_number": "937-443-7019",
            "fax_number": "937-353-9386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 LOOKOUT DR",
            "city": "OAKWOOD",
            "state": "OH",
            "postal_code": "454193812",
            "telephone_number": "937-443-7019",
            "fax_number": "937-353-9386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIJAYAN",
        "first_name": "JITHIN",
        "credential": "MA, LPCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-12-18",
        "last_updated": "2024-06-30",
        "certification_date": "2024-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "068.0134892TELE",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.2404286",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO COUNSELOR, SOCIAL WORKER, AND MARRIAGE AND FAMILY THERAPIST BOARD",
            "identifier": "E.2404286",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARKANSAS BOARD OF EXAMINERS IN COUNSELING AND MARRIAGE AND FAMILY THERAPY",
            "identifier": "P2303011",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PENNSYLVANIA STATE BOARD OF SOCIAL WORKERS, MFTS AND PROFESSIONAL COUNSELORS",
            "identifier": "PC010866",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VERMONT OFFICE OF PROFESSIONAL REGULATION",
            "identifier": "068.0134892TELE",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sober Nation LLC
• Ethan M Sullivan, DPT
• Katheryn Rose Talcott, MS, RD, CDE, LD
• Heather Tutt-Robinson, LMT
• Tara Sue Vangundy, CFNP
• Village of Oakwood
• Adam Logan Vorlicky
• Jonathon Walton
• Jeffrey J Witwer, LISW-SUPV
• Heather Lynn Woollard

• Professional Counselor in Oakwood, OH
• Providers in Oakwood, OH by specialty
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2024; 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.