Kristen Lynn Jindra, MA, LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

E1800980 Issued in OH

Practice address

20220 Center Ridge Rd Ste 355
Rocky River, OH 44116-3596

Phone

(440) 249-7990

NPI assigned

Feb 9, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Kristen Lynn Perchinske Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kjindra@lamplight-counseling-svc.direct.kno2fy.com

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.

• Connected Psychology

  • Clinical Psychologist
  • Rocky River, OH
  • NPI 1649823345
  NPD

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

{
    "created_epoch": "1454976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682553600000",
    "number": "1891153540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24600 DETROIT RD STE 240",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441452542",
            "telephone_number": "440-249-7990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20220 CENTER RIDGE RD STE 355",
            "city": "ROCKY RIVER",
            "state": "OH",
            "postal_code": "441163596",
            "telephone_number": "440-249-7990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JINDRA",
        "first_name": "KRISTEN",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "MA, LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-09",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E1800980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "PERCHINSKE",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Professional Counselor in Rocky River, OH
• Providers in Rocky River, OH by specialty
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2023; 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.