Individual provider Active NPI

Jill I Haar, MA, LPCC-S

  • Professional Counselor
  • Toledo, OH
National Provider Identifier
1992149520
Registry record updated Jun 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E1200164-SUPV Issued in OH
Practice address
123 22ND St
Toledo, OH 43604-2706
Phone
(419) 241-6191
NPI assigned
Apr 25, 2013
Last updated
Jun 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X E1200164-SUPV OH Primary
School Counselor 101YS0200X OH1412626 OH

Addresses

Primary practice location

123 22ND St
Toledo, OH 43604-2706

Mailing address

3909 Woodley Rd
Toledo, OH 43606-1169
Phone (419) 479-4449

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
I20240716000483 OH Practitioner - Mental Health Counselor 3971048836 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
E1200164-SUPVOHMDProfessional Counselor
OH1412626OHMDSchool Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Harbor Counselor CurrentSince Apr 20, 2024 Accepting new patients
Harbor Past Accepting new patients

Locations

101 Clinton St
Defiance, OH 43512
Phone (419) 782-4196

123 22nd St
Toledo, OH 43604
Phone (419) 241-6191

3909 Woodley Rd
Toledo, OH 43606
Phone (419) 725-3330

97 Houpt Dr
Upper Sandusky, OH 43351
Phone (419) 731-0720

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1366848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718755200000",
    "number": "1992149520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3909 WOODLEY RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436061169",
            "telephone_number": "419-479-4449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 22ND ST",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436042706",
            "telephone_number": "419-241-6191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAAR",
        "first_name": "JILL",
        "middle_name": "I",
        "name_prefix": "Ms.",
        "credential": "MA, LPCC-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-25",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E1200164-SUPV",
            "primary": true
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "OH",
            "license": "OH1412626",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.