Active NPI
Shantell Pitts, CT
- Professional Counselor
- Moraine, OH
National Provider Identifier
1811235625
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- C.1100611-TRNE
- Practice address
- 3095 Kettering BLVS
Moraine, OH 45439 - Phone
- (937) 293-1115
- NPI assigned
- Jan 29, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | C.1100611-TRNE | OH | Primary |
Addresses
Primary practice location
3095 Kettering BLVS
Moraine, OH 45439
Mailing address
2001 Mill Run LN
Bellbrook, OH 45305
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
| License | State | Type | Specialty |
|---|---|---|---|
| C.1100611-TRNE | OH | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1359417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359417600000",
"number": "1811235625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 MILL RUN LN",
"city": "BELLBROOK",
"state": "OH",
"postal_code": "45305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3095 KETTERING BLVS",
"city": "MORAINE",
"state": "OH",
"postal_code": "45439",
"telephone_number": "937-293-1115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PITTS",
"first_name": "SHANTELL",
"credential": "CT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-01-29",
"last_updated": "2013-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "C.1100611-TRNE",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Moraine, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.