Individual provider Active NPI

Kimberly Koelble, LPCC

  • Mental Health Counselor
  • Cuyahoga Falls, OH
National Provider Identifier
1063913473
Registry record updated Apr 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
E.2203028 Issued in OH
Practice address
2101 Front St Ste 215
Cuyahoga Falls, OH 44221-3251
Phone
(330) 238-7286
NPI assigned
Feb 22, 2018
Last updated
Apr 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X E.2203028 OH Primary

Addresses

Primary practice location

2101 Front St Ste 215
Cuyahoga Falls, OH 44221-3251

Mailing address

4953 Ridgewood CT
Stow, OH 44224-5356

Other names 1

  • Kimberly Zaun Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
E.2203028OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
59 Grafton LLC CurrentSince Mar 30, 2025 Accepting new patients
Jen Yensel LLC Mental Health PastSince Mar 19, 2023 Accepting new patients

Locations

7000 S Edgerton Rd
Ste 102
Brecksville, OH 44141
Phone (330) 238-7286

2101 Front St
Ste 215
Cuyahoga Falls, OH 44221
Phone (330) 238-7286

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1519257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777248000000",
    "number": "1063913473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4953 RIDGEWOOD CT",
            "city": "STOW",
            "state": "OH",
            "postal_code": "442245356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 FRONT ST STE 215",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442213251",
            "telephone_number": "330-238-7286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOELBLE",
        "first_name": "KIMBERLY",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-22",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.2203028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "ZAUN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cuyahoga Falls, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.