Jan S Kucera, LPCC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

E-2525 Issued in OH

Practice address

25 Orchard Park
Tiffin, OH 44883-3430

Phone

(419) 448-9477

NPI assigned

May 21, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Mental Health Counselor

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lutheran Social Services of Northwestern OhioGroup PAC ID 4587562533, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Csji-Tiffin Inc

  dba St Francis Senior Ministries

  • Skilled Nursing Facility
  • Tiffin, OH
  • NPI 1467924043

  Corporate Director

  CMS ownership

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.

• Lutheran Social Services of Northwestern Ohio

  • Community/Behavioral Health Agency
  • Lima, OH
  • NPI 1750467916
  Medicare reassignment Care Compare group NPD
• Lutheran Social Services of Northwestern Ohio

  • Clinical Social Worker
  • Toledo, OH
  • NPI 1881773687

  Counselor

  NPD
• Lutheran Social Services of Northwestern Ohio

  • Community/Behavioral Health Agency
  • Toledo, OH
  • NPI 1376807313
  NPD (past)

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700095635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 ORCHARD PARK",
            "city": "TIFFIN",
            "state": "OH",
            "postal_code": "448833430",
            "telephone_number": "419-448-9477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 ORCHARD PARK",
            "city": "TIFFIN",
            "state": "OH",
            "postal_code": "448833430",
            "telephone_number": "419-448-9477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUCERA",
        "first_name": "JAN",
        "middle_name": "S",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "E-2525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Amy R Laird
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• Lauryn Lanzer

• Counselor in Tiffin, OH
• Providers in Tiffin, OH by specialty
• Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.