Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jill Lynn Jividen, MED, LPCC

Individual provider Professional Counselor · NPI 1982912564

Jill Lynn Jividen, MED, LPCC is a Mental Health Counselor in Kent, Ohio. Qualified in 2007, 19 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
19
Licensed in
OH
In the registry since
2010
What do these letters mean?
MED — Master of Education
A graduate education degree, written M.Ed.
LPCC — Licensed Professional Clinical Counselor
The title some states use for a licensed clinical counsellor.

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Practice location Address checks out

112 E Main St Fl 2
Kent, OH 44240-2525
Phone: (330) 414-5652
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence E0602046 (OH)

Record details

NPI number1982912564
Entity typeIndividual (Type 1)
GenderFemale
Credentials MED , LPCC
Sole proprietorYes
NPI enumeratedSeptember 17, 2010
Last updated in NPPESMarch 29, 2023
Certification dateMarch 10, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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