Organization Active NPI

The Zen Den, LLC

Doing business as The Zen Den

  • Clinical Social Worker
  • Louisville, KY
National Provider Identifier
1013505387
Registry record updated Jan 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
THE ZEN DEN, LLC
Doing business as
The Zen Den
Practice address
4211 Poplar Level Rd Ste 101
Louisville, KY 40213-1527
Phone
(502) 805-1121
NPI assigned
Jan 4, 2021
Last updated
Jan 4, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Steffany Knauer, LCSWNPI 1588930341
Title
Owner
Phone
(502) 553-1236

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

4211 Poplar Level Rd Ste 101
Louisville, KY 40213-1527

Mailing address

4211 Poplar Level Rd Ste 101
Louisville, KY 40213-1527
Phone (502) 805-1121

Other names 1

  • The Zen Den Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210809003547 KY Part B Supplier - Clinic/Group Practice 3678977980 Receives reassigned benefits from 2 practitioners
Practice locations: Louisville, KY

National Provider Directory

National Provider Directory

Locations

4211 Poplar Level Rd
Ste 101
Louisville, KY 40213
Phone (502) 805-1121

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1609718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609718400000",
    "number": "1013505387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4211 POPLAR LEVEL RD STE 101",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402131527",
            "telephone_number": "502-805-1121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4211 POPLAR LEVEL RD STE 101",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402131527",
            "telephone_number": "502-805-1121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ZEN DEN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-04",
        "last_updated": "2021-01-04",
        "certification_date": "2021-01-04",
        "status": "A",
        "authorized_official_last_name": "KNAUER",
        "authorized_official_first_name": "STEFFANY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-553-1236",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Zen Den",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.