Jill Kocanyar, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701011389 Issued in VA

Practice address

3921 Prosperity Ave
Fairfax, VA 22031-3329

Phone

(708) 280-0237

NPI assigned

Mar 8, 2017

Last updated

Oct 29, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Meridian Healthcare

  • Federally Qualified Health Center (FQHC)
  • Youngstown, OH
  • NPI 1841164365
  NPD (past)

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

{
    "created_epoch": "1488931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1376083444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3921 PROSPERITY AVE",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220313329",
            "telephone_number": "703-280-0237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3921 PROSPERITY AVE",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220313329",
            "telephone_number": "708-280-0237"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "955 N 21st St",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "OH",
            "postal_code": "430552921",
            "country_code": "US",
            "telephone_number": "866-389-2727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOCANYAR",
        "first_name": "JILL",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-08",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.1901070",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "DC",
            "license": "PRC200012508",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701011389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ahra Ko, LSA
• Su Min Ko, M.D.
• Tammy Ko, M.ED, BCBA
• Laura Strehle Kobler, MS, NP
• Thomas Paul Kobylski, MD
• Anthony Koch, PSYD, LCP, LPC, NCC
• Manisha Kochhar, PA-C
• Jacqueline Kochmer, DPT
• Melissa Anne Kochuba, R.N, I.B.C.L.C
• Carrington L Koebele, MD

• Professional Counselor in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.