Individual provider Active NPI

Jordan Kathleen Knappins, LPCC

  • Counselor
  • Ravenna, OH
National Provider Identifier
1669018313
Registry record updated Apr 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
E.2404678 Issued in OH
Practice address
310 Bennett Ave
Ravenna, OH 44266-3211
Phone
(330) 839-9966
NPI assigned
Nov 18, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X E.2404678 OH Primary

Addresses

Primary practice location

310 Bennett Ave
Ravenna, OH 44266-3211

Mailing address

115 Executive Pkwy Ste 400
Hudson, OH 44236-1693
Phone (234) 269-6200

Other practice location 1

115 Executive Pkwy Ste 400
Hudson, OH 44236-1693
Phone (234) 269-6200

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
I20250407000485 OH Practitioner - Mental Health Counselor 2567986052 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jones-Wood Psychological Associates, Inc. Counselor CurrentSince Mar 1, 2025 Accepting new patients
Reach Counseling Services PastSince Nov 24, 2019 Accepting new patients

Locations

9826 Washington St
Chagrin Falls, OH 44023
Phone (440) 708-0188

115 Executive Pkwy
Ste 400
Hudson, OH 44236
Phone (234) 269-6200

591 Boston Mills Rd
Ste 550
Hudson, OH 44236
Phone (234) 269-6200

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1574035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776643200000",
    "number": "1669018313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 EXECUTIVE PKWY STE 400",
            "city": "HUDSON",
            "state": "OH",
            "postal_code": "442361693",
            "telephone_number": "234-269-6200",
            "fax_number": "234-602-2192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 BENNETT AVE",
            "city": "RAVENNA",
            "state": "OH",
            "postal_code": "442663211",
            "telephone_number": "330-839-9966"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "115 Executive Pkwy Ste 400",
            "address_purpose": "LOCATION",
            "city": "Hudson",
            "state": "OH",
            "postal_code": "442361693",
            "country_code": "US",
            "telephone_number": "234-269-6200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KNAPPINS",
        "first_name": "JORDAN",
        "middle_name": "KATHLEEN",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-18",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "E.2404678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ravenna, OH

Sources for this page

Verify at the official NPI Registry.