Look up the most recent NPI and PECOS records

Jennifer A Cimbala

Counselor

Behavioral Health & Social Service Providers

PECOS Enrollment

Based on the most recent information from CMS, provider Jennifer A Cimbala does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1245211358
Provider Type
Individual
Full Name
Cimbala, Jennifer A
Title
Ms.
Credential
MA, LMHC

Gender
Female
Sole Proprietor
No
Enumeration Date
11/7/2005
Last Updated
7/8/2007

Contact Information

Practice Location

601 Wall St, Valparaiso, IN 46383-2512

(219) 476-4529

(219) 462-3975

Mailing Location

706 West Grandview Avenue, Valparaiso, IN 46383

(219) 477-4391

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License 39001571A Indiana

Provider Identifiers

ID	Description	Issuer
ID 39001571A	Description Other	Issuer LMHC Indiana
ID 000000316903	Description Other	Issuer ANTHEM Indiana

Jennifer A Cimbala

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

Ross, Pamela Jean

Bodine, Allison Grace

West, Isabel

Jahan Robbins, La Tanya L

Butler, Brent

Camacho Soria, Alejandra

Williams, Gina

Ciarrocchi, Alaina

Riege, Alyssa Marie

Jackson-Musenja, Nicole Toyi