Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1154765204 Individual Practitioner Female Practitioner

Kaitlin Marie Cantrell , MS, LPCC

Counselor • Vandalia, OH

Professional Overview & Biography Verified Profile Summary

Kaitlin Cantrell, MS, LPCC is a registered healthcare professional specializing in Counselor in Vandalia, OH. Practice services are available at 59 N DIXIE DR STE C under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

59 N Dixie Dr Ste C

Vandalia, OH 453772067

Telephone 9373141659
Fax 9374248767
Associated Practice Facility / Clinic
🏢 Ray Of Light Counseling Llc Facility NPI 1356796643

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Vandalia, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 7.0 Yrs
State Avg: 13.0 Yrs
Regional Practice Density
6 Specialists

Practicing in Vandalia, 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: 2023-06-01
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License OH E.1700002

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0217668 (OH)

Practice Associates & Co-Workers

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

6 Associated Practitioners
Dacey Spinuzzi , LISW

Social Worker - Clinical

NPI 1023650678

Licensed Independent Social Worker

Rebecca Caserta , LPC

Counselor - Mental Health

NPI 1063980043

Licensed Professional Counselor

Elizabeth Hicks , PCC

Counselor - Mental Health

NPI 1174871784
Casey Smedley

Counselor - Professional

NPI 1467142745
Megan Rooney

Counselor

NPI 1477280618
Tina Donovan

Counselor - Mental Health

NPI 1689995631

Career & Practice History Timeline

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

13 Historical Events
📍
Updated Practice Location June 01, 2023

Registered at 59 N DIXIE DR STE C, VANDALIA, OH 453772067 (Tel: 9373141659)

📍
Updated Practice Location January 16, 2020

Registered at 210 W NATIONAL RD, VANDALIA, OH 453771963 (Tel: 9373141659)

NPI Profile Active March 15, 2017

NPI status registered as active in NPPES database

📍
Updated Business Mailing Address March 15, 2017

Registered at 1045 VAN ARDEN DR, VANDALIA, OH 453772922 (Tel: 9373056905)

📍
Updated Practice Location March 15, 2017

Registered at 3095 KETTERING BLVD, MORAINE, OH 454391983 (Tel: 9372938300)

👤
Provider Name / Credentials Updated March 15, 2017

Recorded as KAITLIN CANTRELL, MS/LPCC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 15, 2017

Counselor (License #E.1700002 in OH)

NPI Profile Active April 19, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location April 19, 2013

Registered at 3095 KETTERING BLVD, MORAINE, OH 454391983 (Tel: 9372938300)

📍
Updated Business Mailing Address April 19, 2013

Registered at 7701 ROTHFIELD DR, HUBER HEIGHTS, OH 454242160 (Tel: 9373056905)

👤
Provider Name / Credentials Updated April 19, 2013

Recorded as KAITLIN DUGAS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 19, 2013

Counselor (License #C.1300197-TRNE in OH)

🟢
Initial NPI Registration & Enumeration April 19, 2013

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: 1154765204
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 19, 2013
Last Update: June 01, 2023
Sole Proprietor: Yes

Mailing Address

1045 Van Arden Dr

Vandalia, OH 453772922

Phone: 9373056905

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.