Jenna Michele Kimminau, LSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34012832A Issued in IN

Practice address

6910 N Main St Unit 52
Granger, IN 46530-8412

Phone

(574) 231-6766

Fax

(833) 249-2411

NPI assigned

May 24, 2021

Last updated

Apr 28, 2026By 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 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IN

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

Clinical Social Worker

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

Group practices

Great Lakes Behavior Management Specialists, Inc.Group PAC ID 9436580958, 9 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.

• Great Lakes Behavior Management Specialists, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Granger, IN
  • NPI 1891346441
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1621814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777334400000",
    "number": "1467027300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6910 N MAIN ST UNIT 52",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "465308412",
            "telephone_number": "574-231-6766",
            "fax_number": "833-249-2411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6910 N MAIN ST UNIT 52",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "465308412",
            "telephone_number": "574-231-6766",
            "fax_number": "833-249-2411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3201 E Center Street Ext",
            "address_purpose": "LOCATION",
            "city": "Warsaw",
            "state": "IN",
            "postal_code": "465823907",
            "country_code": "US",
            "telephone_number": "574-267-1700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIMMINAU",
        "first_name": "JENNA",
        "middle_name": "MICHELE",
        "name_prefix": "Miss",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-24",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34012832A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIANA PROFESSIONAL LICENSING AGENCY",
            "identifier": "99014465A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW",
            "identifier": "34012832A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Patrick Kelly, MD, MBA
• Amy R. Kendall, OTR
• Michele Renae Kenney
• Lori Lynn Kerr
• Natalie Kilheeney, L.AC., DIPL. O.M.
• Daniel Gerard Klauer, DDS
• Philip Kline, R.PH.
• Ellen Klinedinst, MA EDS
• Amy Wolfe Knauff, MA CCC/SLP
• Marcia A Koelndorfer, LCSW

• Clinical Social Worker in Granger, IN
• Providers in Granger, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2026; 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.