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Active NPI 1528347366 Individual Practitioner Female Practitioner

Dr. Kizzy Dianna Pittrell , EdD, LCPC

Counselor - Professional • Middle River, MD

Professional Overview & Biography Verified Profile Summary

Dr. Kizzy Pittrell, EdD, LCPC is a registered healthcare professional specializing in Counselor - Professional in Middle River, MD. Practice services are available at 1120 MIDDLE RIVER ROAD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1120 Middle River Road

Middle River, MD 21220

Telephone 4438687762
Fax 4438687643
Associated Practice Facility / Clinic
🏢 Strengthening Families Building Communities Facility NPI 1871139741

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Middle River, MD

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 17.2 Yrs
Regional Practice Density
2 Specialists

Practicing in Middle River, MD (4138 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-02-24
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
589561800 (MD)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location February 24, 2023

Registered at 1120 MIDDLE RIVER ROAD, MIDDLE RIVER, MD 21220 (Tel: 4438687762)

📍
Updated Business Mailing Address February 24, 2023

Registered at 1120 MIDDLE RIVER ROAD, MIDDLE RIVER, MD 21220 (Tel: 3016099887)

👤
Provider Name / Credentials Updated October 17, 2019

Recorded as KIZZY PITTRELL, EDD, LCPC

✅
NPI Profile Active August 10, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location August 10, 2011

Registered at 6100 RADIO STATION ROAD, LA PLATA, MD 20646 (Tel: 3016099887)

📍
Updated Business Mailing Address August 10, 2011

Registered at PO BOX 2924, LA PLATA, MD 206462984 (Tel: 3016099887)

👤
Provider Name / Credentials Updated August 10, 2011

Recorded as KIZZY ROSS, LCPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 10, 2011

Counselor

🟢
Initial NPI Registration & Enumeration August 10, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1528347366
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 10, 2011
Last Update: February 24, 2023
Sole Proprietor: Yes
Update or Correct Profile

Mailing Address

1120 Middle River Road

Middle River, MD 21220

Phone: 3016099887

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.