1588373823 NPI number — GLORIA JEAN KINNEY LPCC

Table of content: GLORIA JEAN KINNEY LPCC (NPI 1588373823)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1588373823 NPI number — GLORIA JEAN KINNEY LPCC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
KINNEY
Provider First Name:
GLORIA
Provider Middle Name:
JEAN
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
LPCC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1588373823
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/05/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4800 N SCOTTSDALE RD STE 2500
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SCOTTSDALE
Provider Business Mailing Address State Name:
AZ
Provider Business Mailing Address Postal Code:
85251-7630
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6601 CENTERVILLE BUSINESS PKWY STE 310
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CENTERVILLE
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
45459-2697
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
216-468-5000
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/15/2022

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YP2500X , with the licence number:  E.2606061 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 210789 . This is a "COMMISSION ON REHABILITATION COUNSELOR CERTIFICATION" identifier . This identifiers is of the category "OTHER".
  • Identifier: C.1700840 . This is a "CSWMFT BOARD" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".