Individual provider Active NPI

Janice Rode Zitelman, LCSW

  • Clinical Social Worker
  • Kerrville, TX
National Provider Identifier
1851320832
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
05611 Issued in TX
Practice address
135 Plaza Dr
Kerrville, TX 78028-2230
Phone
(830) 739-3608
NPI assigned
Jul 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 05611 TX Primary

Addresses

Primary practice location

135 Plaza Dr
Kerrville, TX 78028-2230

Mailing address

PO Box 291481
Kerrville, TX 78029-1481
Phone (830) 367-2492

Other names 1

  • Janice Louise Rode Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Oct 1, 2024 through Oct 1, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lari a Aycock Clinical Past Accepting new patients
The Vine Wellness Group, LLC PastSince Feb 23, 2020 Accepting new patients
Hill Country Christian Counseling Center, Inc. Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851320832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 291481",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780291481",
            "telephone_number": "830-367-2492",
            "fax_number": "830-895-2867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 PLAZA DR",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780282230",
            "telephone_number": "830-739-3608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZITELMAN",
        "first_name": "JANICE",
        "middle_name": "RODE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "05611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANICE",
            "last_name": "RODE",
            "middle_name": "LOUISE",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kerrville, TX

Sources for this page

Verify at the official NPI Registry.