Individual provider Active NPI

Kimberly Marie Kuneli, LPCC

  • Professional Counselor
  • Girard, OH
National Provider Identifier
1245743459
Registry record updated Feb 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E.2001639 Issued in OH
Practice address
1920 Churchill Rd Ste 200
Girard, OH 44420-2484
Phone
(330) 410-8444
NPI assigned
Nov 9, 2017
Last updated
Feb 14, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Professional Counselor 101YP2500X C.1800992 OH
Professional Counselor 101YP2500X E.2001639 OH Primary

Addresses

Primary practice location

1920 Churchill Rd Ste 200
Girard, OH 44420-2484

Mailing address

602 Dorchester Dr
Hubbard, OH 44425-2607

Other practice location 1

221 W Liberty St
Medina, OH 44256-2217
Phone (330) 410-8444

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240113000637 OH Practitioner - Mental Health Counselor 4385096403 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1920 Churchill Rd
Suite 200
Girard, OH 44420-2484
Phone (330) 932-4002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C.1800992OHMDProfessional Counselor
E.2001639OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Find Rest Counseling LLC Professional CurrentSince Dec 2, 2023 Accepting new patients

Locations

1920 Churchill Rd
Ste 200
Girard, OH 44420
Phone (330) 410-8444

Organizations & group practices 1

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": "1510185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581638400000",
    "number": "1245743459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 DORCHESTER DR",
            "city": "HUBBARD",
            "state": "OH",
            "postal_code": "444252607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 CHURCHILL RD STE 200",
            "city": "GIRARD",
            "state": "OH",
            "postal_code": "444202484",
            "telephone_number": "330-410-8444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "221 W Liberty St",
            "address_purpose": "LOCATION",
            "city": "Medina",
            "state": "OH",
            "postal_code": "442562217",
            "country_code": "US",
            "telephone_number": "330-410-8444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUNELI",
        "first_name": "KIMBERLY",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-09",
        "last_updated": "2020-02-14",
        "certification_date": "2020-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "C.1800992",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.2001639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Girard, OH

Sources for this page

Verify at the official NPI Registry.