Active NPI
Kimberly L Munn, ADDICTION COUNSELOR
- Addiction (Substance Use Disorder) Counselor
- Toledo, OH
National Provider Identifier
1568502391
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 195491
- Practice address
- 5577 Airport Hwy Ste 200
Toledo, OH 43615-7364 - Phone
- (419) 720-0442
- NPI assigned
- Feb 8, 2007
- Last updated
- Mar 26, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10025313000 | Medicaid | NE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 195491 | OH | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Personal Growth Counseling Services LLC | Past | Accepting new patients | |
| Personal Growth Counseling Services LLC | Past | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Toledo, OH
- NPI 1023776028
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Toledo, OH
- NPI 1801601984
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.