Kaitlin Rae Fetty, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

2651 Issued in WV

Practice address

50 Clay St Ste 3
Morgantown, WV 26501-5944

Phone

(304) 381-4831

Fax

(304) 381-4826

NPI assigned

Jul 27, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Wellness on the Mon, LLC

  • Professional Counselor
  • Morgantown, WV
  • NPI 1881249381
  NPD

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

{
    "created_epoch": "1658880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658880000000",
    "number": "1932835477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 CLAY ST STE 3",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265015944",
            "telephone_number": "304-381-4831",
            "fax_number": "304-381-4826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 CLAY ST STE 3",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265015944",
            "telephone_number": "304-381-4831",
            "fax_number": "304-381-4826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FETTY",
        "first_name": "KAITLIN",
        "middle_name": "RAE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-27",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WV",
            "license": "2651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adrian Ferrera, LPC
• Ashley N Fertig, CRNA
• Aaron Fetty, FNP
• Adam Christopher Fetty, MD
• Gregory Bryan Fetty
• Tera Fetty, MS, LAT, ATC
• Mara Joy Fevig
• Donald C Fidler, M.D.
• Jessica Fieldhouse
• Emily Ann Fields

• Mental Health Counselor in Morgantown, WV
• Providers in Morgantown, WV by specialty
• Mental Health Counselor in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2022; 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.