Provider Demographics
NPI:1790587590
Name:LIMBURG, JESSICA LYNN (LMHC)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:LYNN
Last Name:LIMBURG
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3321 RICHMOND AVE
Mailing Address - Street 2:
Mailing Address - City:CONNERSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47331-3136
Mailing Address - Country:US
Mailing Address - Phone:765-698-7201
Mailing Address - Fax:
Practice Address - Street 1:9127 OXFORD PIKE
Practice Address - Street 2:
Practice Address - City:BROOKVILLE
Practice Address - State:IN
Practice Address - Zip Code:47012-7874
Practice Address - Country:US
Practice Address - Phone:765-647-4173
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-25
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN39005401A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health