Organization Active NPI

Jeeva Counseling, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Oakwood, OH
National Provider Identifier
1962182121
Registry record updated Jun 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2024

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

Authorized official

Name
Mr. Jithin Vijayan, MA, LPCCNPI 1578035325
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
P2303011OtherARARKANSAS BOARD OF EXAMINERS IN COUNSELING AND MARRIAGE AND FAMILY THERAPY
068.0134892TELEOtherVTVERMONT OFFICE OF PROFESSIONAL REGULATION
E.2404286OtherOHOHIO COUNSELOR, SOCIAL WORKER, AND MARRIAGE AND FAMILY THERAPIST BOARD
PC010866OtherPAPENNSYLVANIA STATE BOARD OF SOCIAL WORKERS, MFTS, AND PROFESSIONAL COUNSELORS

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.