Individual provider Active NPI

Jody Renee Pittner, LPCC

  • Mental Health Counselor
  • Strongsville, OH
National Provider Identifier
1649648106
Registry record updated Feb 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C.1400187-CR Issued in OH
Practice address
13477 Prospect Rd Ste 104a
Strongsville, OH 44149-3867
Phone
(440) 462-0111
Fax
(216) 452-2146
NPI assigned
Sep 14, 2015
Last updated
Feb 3, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C.1400187-CR OH Primary

Addresses

Primary practice location

13477 Prospect Rd Ste 104a
Strongsville, OH 44149-3867

Mailing address

21572 Hickory Branch TRL
Strongsville, OH 44149-1269
Phone (440) 915-1807

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
C.1400187-CROHMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1442188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549152000000",
    "number": "1649648106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21572 HICKORY BRANCH TRL",
            "city": "STRONGSVILLE",
            "state": "OH",
            "postal_code": "441491269",
            "telephone_number": "440-915-1807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13477 PROSPECT RD STE 104A",
            "city": "STRONGSVILLE",
            "state": "OH",
            "postal_code": "441493867",
            "telephone_number": "440-462-0111",
            "fax_number": "216-452-2146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITTNER",
        "first_name": "JODY",
        "middle_name": "RENEE",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-14",
        "last_updated": "2019-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C.1400187-CR",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Strongsville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2019; 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.