Individual provider Active NPI

Jareb Lee Kinney, LPCC

  • Professional Counselor
  • Minot, ND
National Provider Identifier
1619588878
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1055-3-1-20-465 Issued in ND
Practice address
504 E Central Ave Ste 301
Minot, ND 58701-4000
Phone
(701) 390-1501
Fax
(701) 890-1510
NPI assigned
Aug 12, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 1055-3-1-20-465 ND Primary

Addresses

Primary practice location

504 E Central Ave Ste 301
Minot, ND 58701-4000

Mailing address

504 E Central Ave Ste 301
Minot, ND 58701-4000
Phone (701) 390-1501

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

Practice roles

OrganizationSpecialtyStatusNew patients
Zero Gravity Counseling PLLC Professional CurrentSince Feb 23, 2025 Accepting new patients

Locations

504 E Central Ave
Ste 301
Minot, ND 58701
Phone (603) 343-8981

Organizations & group practices 1

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": "1597190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1619588878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 E CENTRAL AVE STE 301",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587014000",
            "telephone_number": "701-390-1501",
            "fax_number": "701-890-1510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 E CENTRAL AVE STE 301",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587014000",
            "telephone_number": "701-390-1501",
            "fax_number": "701-890-1510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINNEY",
        "first_name": "JAREB",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-12",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ND",
            "license": "1055-3-1-20-465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minot, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.