Individual provider Active NPI

Kristy Lynn Jones, LPC

  • Mental Health Counselor
  • Medina, OH
National Provider Identifier
1730710310
Registry record updated Jan 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C.2002411 Issued in OH
Practice address
221 W Liberty St
Medina, OH 44256-2217
Phone
(330) 347-3697
NPI assigned
Jan 31, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C.2002411 OH Primary

Addresses

Primary practice location

221 W Liberty St
Medina, OH 44256-2217

Mailing address

221 W Liberty St
Medina, OH 44256-2217
Phone (330) 347-3697

Other identifiers 1

IdentifierTypeStateIssuer
1831525401MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kristy@findingyouridentity.com Health Information Exchange (HIE)

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
I20241004001131 OH Practitioner - Mental Health Counselor 4486185121 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrative Counseling ServicesGroup PAC ID 5395282156, 2 clinicians

Practice addresses (Care Compare)

2648 Medina Rd
Unit 16
Medina, OH 44256-9322
Phone (440) 570-2541

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C.2002411OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Counseling Services Mental Health CurrentSince Jun 23, 2024 Accepting new patients

Locations

2648 Medina Rd
Unit 16
Medina, OH 44256
Phone (440) 570-2541

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1580428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580428800000",
    "number": "1730710310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 W LIBERTY ST",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442562217",
            "telephone_number": "330-347-3697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 W LIBERTY ST",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442562217",
            "telephone_number": "330-347-3697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "KRISTY",
        "middle_name": "LYNN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-31",
        "last_updated": "2020-01-31",
        "certification_date": "2020-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C.2002411",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1831525401",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kristy@findingyouridentity.com",
            "affiliation": "N",
            "endpointDescription": "TheraNest",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "221 W Liberty St",
            "city": "Medina",
            "state": "OH",
            "country_code": "US",
            "postal_code": "442562217",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Medina, OH

Sources for this page

Verify at the official NPI Registry.