Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1205309101 Individual Practitioner Female Practitioner

Kitana M. Cantrell , LPC

Counselor • Peebles, OH

Professional Overview & Biography Verified Profile Summary

Kitana Cantrell, LPC is a registered healthcare professional specializing in Counselor in Peebles, OH. Practice services are available at 25773 STATE ROUTE 41 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

25773 State Route 41

Peebles, OH 456608953

Telephone 7403575528
Associated Practice Facility / Clinic
🏢 Mellon Ridge, Inc. Facility NPI 1851504385

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Peebles, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.0 Yrs
Regional Practice Density
1 Specialists

Practicing in Peebles, OH (4163 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: 2024-08-15
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License OH C.2103396

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Secondary Practice Locations

10921 Reed Hartman Hwy Ste 133

Blue Ash, OH 452422851

Phone: 5139849838

1071 Tong Hollow Rd

Bainbridge, OH 456121500

Phone: 7403130571

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Carla Tinkel

Behavior Technician

NPI 1275350944
NPI 1376976928

LICDCCS, Licensed Clinical Alcohol and Drug Counselor, LPCA

David Hufferd

Counselor - Addiction (Substance Use Disorder)

NPI 1447802012

Career & Practice History Timeline

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

12 Historical Events
📍
Updated Practice Location August 15, 2024

Registered at 25773 STATE ROUTE 41, PEEBLES, OH 456608953 (Tel: 7403575528)

📍
Updated Practice Location July 27, 2023

Registered at 1071 TONG HOLLOW RD, BAINBRIDGE, OH 456121500 (Tel: 7403130571)

📍
Updated Business Mailing Address July 27, 2023

Registered at 1071 TONG HOLLOW RD, BAINBRIDGE, OH 456121500 (Tel: 7403130571)

👤
Provider Name / Credentials Updated June 07, 2021

Recorded as KITANA CANTRELL, LPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 07, 2021

Counselor (License #C.2103396 in OH)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 20, 2019

Social Worker (License #W.1800144 in OH)

NPI Profile Active January 03, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location January 03, 2019

Registered at 10921 REED HARTMAN HWY STE 133, BLUE ASH, OH 452422851 (Tel: 5139849838)

📍
Updated Business Mailing Address January 03, 2019

Registered at 10921 REED HARTMAN HWY STE 133, BLUE ASH, OH 452422851

👤
Provider Name / Credentials Updated January 03, 2019

Recorded as KITANA CANTRELL, CT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 03, 2019

Counselor

🟢
Initial NPI Registration & Enumeration January 03, 2019

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: 1205309101
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 03, 2019
Last Update: August 15, 2024
Sole Proprietor: Yes

Mailing Address

1071 Tong Hollow Rd

Bainbridge, OH 456121500

Phone: 7403130571

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.