Individual provider Active NPI

Kaitlin Butcher, LPC

  • Counselor
  • Youngstown, OH
National Provider Identifier
1699239327
Registry record updated May 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
C.1902235 Issued in OH
Practice address
45 N Canfield Niles Rd
Youngstown, OH 44515-2343
Phone
(330) 330-8777
NPI assigned
Jan 28, 2019
Last updated
May 19, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X C.1902235 OH Primary
Mental Health Counselor 101YM0800X C.1901510-TRNE OH

Addresses

Primary practice location

45 N Canfield Niles Rd
Youngstown, OH 44515-2343

Mailing address

45 N Canfield Niles Rd
Youngstown, OH 44515-2343

Other practice location 1

155 N Water St
Kent, OH 44240-2418
Phone (330) 678-3006

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.1902235OHMDCounselor
C.1901510-TRNEOHMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1548633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589846400000",
    "number": "1699239327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 N CANFIELD NILES RD",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445152343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 N CANFIELD NILES RD",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445152343",
            "telephone_number": "330-330-8777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "155 N Water St",
            "address_purpose": "LOCATION",
            "city": "Kent",
            "state": "OH",
            "postal_code": "442402418",
            "country_code": "US",
            "telephone_number": "330-678-3006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUTCHER",
        "first_name": "KAITLIN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-28",
        "last_updated": "2020-05-19",
        "certification_date": "2020-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "C.1902235",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C.1901510-TRNE",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2020; 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.