Active NPI
Jeeva Counseling, LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Oakwood, OH
National Provider Identifier
1962182121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- JEEVA COUNSELING, LLC
- Practice address
- 204 Lookout Dr
Oakwood, OH 45419-3812 - Phone
- (937) 443-7019
- Fax
- (937) 353-9386
- NPI assigned
- Jul 24, 2023
- Last updated
- Jun 30, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jithin Vijayan, MA, LPCC
- Title
- Licensed Professional Counselor
- Phone
- (937) 443-7019
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | NU | Primary | |
| Adult Mental Health Clinic/Center | 261QM0850X | NU | ||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | NU | ||
| Professional Counselor | 101YP2500X | NU |
Addresses
Primary practice location
204 Lookout Dr
Oakwood, OH 45419-3812
Mailing address
204 Lookout Dr
Oakwood, OH 45419-3812
Phone (937) 443-7019
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P2303011 | Other | AR | ARKANSAS BOARD OF EXAMINERS IN COUNSELING AND MARRIAGE AND FAMILY THERAPY |
| 068.0134892TELE | Other | VT | VERMONT OFFICE OF PROFESSIONAL REGULATION |
| E.2404286 | Other | OH | OHIO COUNSELOR, SOCIAL WORKER, AND MARRIAGE AND FAMILY THERAPIST BOARD |
| PC010866 | Other | PA | PENNSYLVANIA STATE BOARD OF SOCIAL WORKERS, MFTS, AND PROFESSIONAL COUNSELORS |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Professional Counselor
- Oakwood, OH
- NPI 1578035325
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690156800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1719705600000",
"number": "1962182121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "204 LOOKOUT DR",
"city": "OAKWOOD",
"state": "OH",
"postal_code": "454193812",
"telephone_number": "937-443-7019",
"fax_number": "937-353-9386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "204 LOOKOUT DR",
"city": "OAKWOOD",
"state": "OH",
"postal_code": "454193812",
"telephone_number": "937-443-7019",
"fax_number": "937-353-9386"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JEEVA COUNSELING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-07-24",
"last_updated": "2024-06-30",
"certification_date": "2024-06-30",
"status": "A",
"authorized_official_last_name": "VIJAYAN",
"authorized_official_first_name": "JITHIN",
"authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
"authorized_official_telephone_number": "937-443-7019",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MA, LPCC"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARKANSAS BOARD OF EXAMINERS IN COUNSELING AND MARRIAGE AND FAMILY THERAPY",
"identifier": "P2303011",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VERMONT OFFICE OF PROFESSIONAL REGULATION",
"identifier": "068.0134892TELE",
"state": "VT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OHIO COUNSELOR, SOCIAL WORKER, AND MARRIAGE AND FAMILY THERAPIST BOARD",
"identifier": "E.2404286",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PENNSYLVANIA STATE BOARD OF SOCIAL WORKERS, MFTS, AND PROFESSIONAL COUNSELORS",
"identifier": "PC010866",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oakwood, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.