Individual provider Active NPI

Jenny Lynn Autullo, LPCC-S

  • Counselor
  • Toledo, OH
National Provider Identifier
1437793544
Registry record updated Jan 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
E.0800470-SUPV Issued in OH
Practice address
3125 Transverse Dr Ste L
Toledo, OH 43614-8008
Phone
(419) 383-5695
Fax
(419) 383-3031
NPI assigned
Oct 31, 2019
Last updated
Jan 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X E.0800470-SUPV OH Primary
Professional Counselor 101YP2500X E0800470-SUPV OH

Addresses

Primary practice location

3125 Transverse Dr Ste L
Toledo, OH 43614-8008

Mailing address

3000 Arlington Ave Stop 1108
Toledo, OH 43614-2595

Other practice location 1

7955 Berridge Rd
Whitehouse, OH 43571-9353
Phone (734) 497-8320

Other names 1

  • Ms. Jenny Lynn Leimann Former name

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
I20241007000644 OH Practitioner - Mental Health Counselor 5597296111 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3125 Transverse Dr
Toledo, OH 43614-8008
Phone (419) 383-5000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E0800470-SUPVOHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
University of Toledo Physicians, LLC CurrentSince Oct 1, 2024 Accepting new patients
University of Toledo Physicians LLC CurrentSince Oct 1, 2024 Accepting new patients

Locations

3000 Arlington Ave
#1108
Toledo, OH 43614
Phone (419) 383-5330

3000 Arlington Ave
Stop 1108
Toledo, OH 43614

3125 Transverse Dr
Toledo, OH 43614
Phone (419) 383-3771

3125 Transverse Dr
Ste L
Toledo, OH 43614

3355 Glendale Ave
Toledo, OH 43614
Phone (419) 383-5614

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9641/brand/2/csg/1/fhir/r4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1572480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768435200000",
    "number": "1437793544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 ARLINGTON AVE STOP 1108",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436142595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3125 TRANSVERSE DR STE L",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436148008",
            "telephone_number": "419-383-5695",
            "fax_number": "419-383-3031"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7955 Berridge Rd",
            "address_purpose": "LOCATION",
            "city": "Whitehouse",
            "state": "OH",
            "postal_code": "435719353",
            "country_code": "US",
            "telephone_number": "734-497-8320",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AUTULLO",
        "first_name": "JENNY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "LPCC-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-31",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "E.0800470-SUPV",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E0800470-SUPV",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNY",
            "last_name": "LEIMANN",
            "middle_name": "LYNN",
            "prefix": "MS.",
            "credential": "LPCC-S",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.