Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Andrew David Kitzmiller, LPC-MHSP

Individual provider Professional Counselor · NPI 1528393550

Mr. Andrew David Kitzmiller, LPC-MHSP is a Mental Health Counselor in Johnson City, Tennessee. Qualified in 2023, 3 years ago. Practices with Emmaus Medical and Counseling, PLLC, a 7-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
3
Licensed in
TN
In the registry since
2009
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Practice location Address checks out

1730 Old Gray Station Rd
Johnson City, TN 37615-3869
Phone: (423) 202-3008
Fax: (423) 202-7835
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 273 Highway 11 E Ste E, Bulls Gap, TN 37711-3434 — (423) 393-4377
  • 2834 Us Highway 23 N, Weber City, VA 24290-7085 — (276) 885-0190

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 2494 (TN)

Record details

NPI number1528393550
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC-MHSP
Sole proprietorYes
NPI enumeratedOctober 8, 2009
Last updated in NPPESMay 15, 2026
Certification dateMay 15, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Emmaus Medical And Counseling, Pllc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Johnson City