Jennifer Tull Kinzer, LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

E.2001790 Issued in OH

Practice address

927 Doris Jane Ave
Fairfield, OH 45014-2813

Phone

(513) 290-6148

NPI assigned

Jul 28, 2017

Last updated

Oct 17, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cobblestone Counseling LLCGroup PAC ID 4284010877, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Cobblestone Counseling LLC

  • Clinical Social Worker
  • Hamilton, OH
  • NPI 1346972213
  Medicare reassignment Care Compare group NPD
• Cornerstone Christian Counseling LLC

  • Mental Health Counselor
  • Hamilton, OH
  • NPI 1982452892
  NPD Authorized official

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

{
    "created_epoch": "1501200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697500800000",
    "number": "1184148496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "927 DORIS JANE AVE",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450142813",
            "telephone_number": "513-290-6148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "927 DORIS JANE AVE",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450142813",
            "telephone_number": "513-290-6148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINZER",
        "first_name": "JENNIFER",
        "middle_name": "TULL",
        "name_prefix": "Mrs.",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-28",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "C.1700393",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.2001790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ziad Khatib, MD
• Truphena Jepkogei Kibor
• Lorri Kiefer
• Michelle M. Kilcoyne, PH.D.
• Kristy King, CNP
• Molly Elizabeth Kirchner
• Kimberly Kirk, PC-CR, LCDC III
• Mark M Kirkham, MD
• Brian Matthew Kirkpatrick, CDCA
• Rachel R Kissick, CDCA

• Professional Counselor in Fairfield, OH
• Providers in Fairfield, OH by specialty
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.