DR. KIZZY DIANNA PITTRELL EDD LCPC NPI 1528347366

NPI Information

  • NPI: 1528347366
  • Provider Name: DR. KIZZY DIANNA PITTRELL, EDD, LCPC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • Address: 1120 MIDDLE RIVER ROAD
    MIDDLE RIVER, MD
    ZIP 21220
  • Phone: (443) 868-7762

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NPI Details

DR. Kizzy Dianna Pittrell, EDD, LCPC is a professional counselor in Middle River, MD. DR. Kizzy Dianna Pittrell, EDD, LCPC NPI is 1528347366. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1120 MIDDLE RIVER ROAD
MIDDLE RIVER, MD
ZIP 21220
Phone: (443) 868-7762
Fax: (443) 868-7643

The enumeration date for this NPI number is 8/10/2011 and was last updated on 2/24/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YP2500XCounselorProfessionalMARYLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1589561800MEDICAIDMARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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