MS. JAN S KIMBALL LPCC
NPI 1679023402
Counselor in Mentor, OH

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101Y00000X.

Active since October 05, 2016

7232 JUSTIN WAY, MENTOR, OH 44060(440) 578-8200 Get Directions Write a Review

NPPES record last updated: June 29, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Ms. Jan S Kimball Lpcc NPPES

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

MS. JAN S KIMBALL LPCC (NPI 1679023402) is an individual counselor in Mentor, Ohio, licensed in Ohio (E.0008013) and active in the NPI registry since October 2016.

NPPES Registry Identity

NPI1679023402

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameMS. JAN S KIMBALLCredential: LPCC

Location Address7232 JUSTIN WAYMentor, OH 44060-4881

Mailing Address7232 Justin WayMentor, OH 44060-4881 · (440) 578-8200

Phone(440) 578-8200

Sole ProprietorYes

Enumeration DateOctober 5, 2016

Last NPPES UpdateJune 29, 2021

NPPES CertifiedJune 29, 2021

✔ NPI 1679023402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in OH · E.0008013

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.

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License E0008013 (OH)

7232 JUSTIN WAY, Mentor, OH 44060

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