Katelyn Zenchenko

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

101 Jonathan Dr Unit 3
Liberty Hill, TX 78642-6358

Phone

(512) 277-0676

NPI assigned

Nov 8, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Eternal Grace Relational Care

  • Case Management Agency
  • Liberty Hill, TX
  • NPI 1265005136

  Multi-Specialty

  NPD

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

{
    "created_epoch": "1699401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1124892492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 JONATHAN DR UNIT 3",
            "city": "LIBERTY HILL",
            "state": "TX",
            "postal_code": "786426358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 JONATHAN DR UNIT 3",
            "city": "LIBERTY HILL",
            "state": "TX",
            "postal_code": "786426358",
            "telephone_number": "512-277-0676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZENCHENKO",
        "first_name": "KATELYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-08",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cecilia Norwood Wisbrun, M.A., CCC-SLP
• Paul Mitchell Wolf, M.D.
• Rachel N Woolley, APRN-CNP
• Phillip Zamora, HIS
• ZDH Discovery LTD

• Counselor in Liberty Hill, TX
• Providers in Liberty Hill, TX by specialty
• Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.