Kintsukuroi Mental Health & Wellness Services LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

KINTSUKUROI MENTAL HEALTH & WELLNESS SERVICES LLC

Practice address

1351 S Reynolds Rd Ste B
Toledo, OH 43615-7411

Phone

(419) 410-1830

NPI assigned

Nov 6, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Jared S Rose, LPCC-S

Title

Co-Owner/Professional Clinical Coun

Phone

(419) 787-3780

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Martin R Nowak, L.P.C.C.-S

  • Professional Counselor
  • Toledo, OH
  • NPI 1033388756
  NPD

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

{
    "created_epoch": "1730851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741737600000",
    "number": "1326861329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1351 S REYNOLDS RD STE B",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436157411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1351 S REYNOLDS RD STE B",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436157411",
            "telephone_number": "419-410-1830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINTSUKUROI MENTAL HEALTH & WELLNESS SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-06",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "JARED",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CO-OWNER/PROFESSIONAL CLINICAL COUN",
        "authorized_official_telephone_number": "419-787-3780",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LPCC-S"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandrea K Kinney
• Lisamarie Kinninger
• Joshua Kinsman
• Sarah Kinsman
• John P Kinson, DO
• Kathy W. Kirby
• Chase Alexander Kiriazis, RPH
• Jennifer Kirk, CNP
• Jill Kirk
• Keturah A Kirk

• Mental Health Counselor in Toledo, OH
• Providers in Toledo, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2025; 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.