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MR. KEVIN MIKE KITTRELL JR. LGPC
NPI 1972368090
Counselor in Baltimore, MD

Active since February 19, 2024PECOS Enrolled
1900 N HOWARD ST # 300, BALTIMORE, MD 21218(443) 438-6742 Get Directions Write a Review

NPPES record last updated: February 19, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mr. Kevin Mike Kittrell Jr. Lgpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. KEVIN MIKE KITTRELL JR. LGPC (NPI 1972368090) is an individual counselor in Baltimore, Maryland, licensed in Maryland (LGP14679) and active in the NPI registry since February 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1972368090
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameMR. KEVIN MIKE KITTRELL JR.Credential: LGPC
Location Address1900 N HOWARD ST # 300Baltimore, MD 21218-5909
Mailing Address6726 Danville AveDundalk, MD 21222-1029 · (443) 320-3496
Phone(443) 438-6742
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateFebruary 19, 2024
NPPES CertifiedFebruary 17, 2024
✔ NPI 1972368090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in MD · LGP14679
Definition
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.
1900 N HOWARD ST # 300, Baltimore, MD 21218
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Kevin Mike Kittrell Jr. Lgpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4385113182
PECOS Enrollment IDI20260520003463
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Kevin Kittrell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Psych Associates Of Maryland LLC
7.4 mi
Psychologist
1447 YORK RD STE 601
Timonium, MD 21093
  • Reassigned Medicare billing, District of Columbia and Maryland enrollments
  • 191 clinicians in this Medicare group
NPI 1891721981 (410) 823-6408

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DANIELLE TOLSON
Social Worker
1900 N HOWARD ST # 300
BALTIMORE, MD 21218
Baltimore City (252) 518-3324
OLIVIA AUDREY MAFFO
Counselor (Mental Health)
1900 N HOWARD ST # 300
BALTIMORE, MD 21218
Baltimore City (443) 438-6742
CHELDONE LEVONNE JONES
Social Worker
1900 N HOWARD ST # 300
BALTIMORE, MD 21218
Baltimore City (443) 438-6742
SARAH LYNN DAY LMSW
Social Worker
1900 N HOWARD ST # 300
BALTIMORE, MD 21218
Baltimore City (443) 438-6742

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kevin Kittrell's NPI number?

The NPI number for Kevin Kittrell is 1972368090. It was assigned to this individual provider in the NPPES registry on February 19, 2024.

Where is Kevin Kittrell located?

Kevin Kittrell practices at 1900 N Howard St # 300, Baltimore, MD 21218. The listed phone number is (443) 438-6742.

What is Kevin Kittrell's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Kevin Kittrell enrolled in Medicare?

Yes. Kevin Kittrell is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kevin Kittrell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Kittrell reassigns Medicare benefits to Psych Associates Of Maryland LLC (Timonium, MD). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kevin Kittrell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kevin Kittrell was last updated on February 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.