JILL LYNN JIVIDEN M.ED.,LPCC
NPI 1982912564
Counselor - Professional in Kent, OH

Active since September 17, 2010PECOS EnrolledAccepts Medicare Assignment
112 E MAIN ST FL 2, KENT, OH 44240(330) 414-5652 Get Directions Write a Review

NPPES record last updated: March 29, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jill Lynn Jividen M.ed.,lpcc NPPES

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

JILL LYNN JIVIDEN M.ED.,LPCC (NPI 1982912564) is an individual professional provider in Kent, Ohio, licensed in Ohio (E0602046) and active in the NPI registry since September 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1982912564
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJILL LYNN JIVIDENCredential: M.ED.,LPCC
Location Address112 E MAIN ST FL 2Kent, OH 44240-2525
Mailing Address853 Stonewater DrKent, OH 44240-2052 · (330) 414-5652
Sole ProprietorYes
Medical School CMSOtherGraduated 2007
Enumeration DateSeptember 17, 2010
Last NPPES UpdateMarch 29, 2023
NPPES CertifiedMarch 10, 2023
NPI 1982912564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in OH · E0602046
112 E MAIN ST FL 2, Kent, OH 44240

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jill Lynn Jividen M.ed.,lpcc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5294175154
PECOS Enrollment IDI20240425003953
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.

Other Providers at the Same Location NPPES

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

Counselor (Professional)
112 E MAIN ST FL 2
KENT, OH 44240

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 Jill Jividen's NPI number?

The NPI number for Jill Jividen is 1982912564. It was assigned to this individual provider in the NPPES registry on September 17, 2010.

Where is Jill Jividen located?

Jill Jividen practices at 112 E Main St Fl 2, Kent, OH 44240. The listed phone number is (330) 414-5652.

What is Jill Jividen's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Jill Jividen enrolled in Medicare?

Yes. Jill Jividen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jill Jividen accept?

Health plans from CareSource, MedMutual and Providence Health Plan list Jill Jividen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jill Jividen was last updated on March 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.