Individual provider Active NPI

Kimberly L Munn, ADDICTION COUNSELOR

  • Addiction (Substance Use Disorder) Counselor
  • Toledo, OH
National Provider Identifier
1568502391
Registry record updated Mar 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
195491 Issued in OH
Practice address
5577 Airport Hwy Ste 200
Toledo, OH 43615-7364
Phone
(419) 720-0442
NPI assigned
Feb 8, 2007
Last updated
Mar 26, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Addiction (Substance Use Disorder) Counselor 101YA0400X 195491 OH Primary

Addresses

Primary practice location

5577 Airport Hwy Ste 200
Toledo, OH 43615-7364

Mailing address

5577 Airport Hwy Ste 200
Toledo, OH 43615-7364
Phone (419) 720-0442

Other identifiers 1

IdentifierTypeStateIssuer
10025313000MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
195491OHMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Personal Growth Counseling Services LLC PastSince May 6, 2025 Accepting new patients
Personal Growth Counseling Services LLC PastSince Feb 9, 2025 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774483200000",
    "number": "1568502391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5577 AIRPORT HWY STE 200",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436157364",
            "telephone_number": "419-720-0442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5577 AIRPORT HWY STE 200",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436157364",
            "telephone_number": "419-720-0442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNN",
        "first_name": "KIMBERLY",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "ADDICTION COUNSELOR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-08",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "195491",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025313000",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2026; 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.