Jill Lynn Jividen, M.ED.,LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

E0602046 Issued in OH

Practice address

112 E Main St FL 2
Kent, OH 44240-2525

Phone

(330) 414-5652

NPI assigned

Sep 17, 2010

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

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, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Master of Education

State licenses

Practice roles

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.

• Jill L. Jividen

  • Professional Counselor
  • Kent, OH
  • NPI 1023706454
  NPD Authorized official
• Counseling for Wellness, LLC

  • Professional Counselor
  • Kent, OH
  • NPI 1386138980
  NPD (past)
• Counseling for Wellness, LLP

  • Mental Health Counselor
  • Kent, OH
  • NPI 1790794410
  NPD (past)

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

{
    "created_epoch": "1284681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680048000000",
    "number": "1982912564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "853 STONEWATER DR",
            "city": "KENT",
            "state": "OH",
            "postal_code": "442402052",
            "telephone_number": "330-414-5652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 E MAIN ST FL 2",
            "city": "KENT",
            "state": "OH",
            "postal_code": "442402525",
            "telephone_number": "330-414-5652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIVIDEN",
        "first_name": "JILL",
        "middle_name": "LYNN",
        "credential": "M.ED.,LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-17",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E0602046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashai Monay Jennings
• Tammy Jennings
• Limara Jett
• Jill L. Jividen
• Isabella Rose Jividen
• Tracy Lynn Jobst
• Candace M Johnson
• Lauren Johnson, CDCA
• Melissa Johnson, M.ED, LPCC
• Amanda Johnston

• Professional Counselor in Kent, OH
• Providers in Kent, OH by specialty
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.