MISS JENNA MICHELE KIMMINAU LSW NPI 1467027300

NPI Information

NPI: 1467027300
Provider Name: MISS JENNA MICHELE KIMMINAU, LSW
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
3201 E CENTER STREET EXT
WARSAW, IN
ZIP 46582
Phone: (574) 267-1700
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MISS Jenna Michele Kimminau, LSW is a mental health counselor in Warsaw, IN. MISS Jenna Michele Kimminau, LSW NPI is 1467027300. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3201 E CENTER STREET EXT
WARSAW, IN
ZIP 46582-907
Phone: (574) 267-1700

The enumeration date for this NPI number is 5/24/2021 and was last updated on 5/24/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health		INDIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	99014465A	OTHER	INDIANA	INDIANA PROFESSIONAL LICENSING AGENCY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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