Active NPI
Kelly L Snyder, LPC-MHSP
- Professional Counselor
- Dickson, TN
National Provider Identifier
1528196375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 4843
- Practice address
- 6000 Ramsey Way
Dickson, TN 37055-2198 - Phone
- (615) 446-3797
- Fax
- (615) 446-5852
- NPI assigned
- Mar 2, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 4843 | TN | Primary |
Addresses
Primary practice location
6000 Ramsey Way
Dickson, TN 37055-2198
Mailing address
2966 Lylewood Rd
Woodlawn, TN 37191-8206
Phone (931) 472-9102
Other practice location 1
1820 Memorial Cir
Clarksville, TN 37043-4539
Phone (931) 801-5596
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4843 | TN | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centerstone of Tennessee, Inc. | Current | Accepting new patients | |
| Centerstone of Tennessee, Inc. | Past | Accepting new patients |
Locations
1820 Memorial Cir
Clarksville, TN 37043
Phone (931) 648-9976
6000 Ramsey Way
Dickson, TN 37055
Phone (615) 446-3797
Organizations & group practices 2
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Nashville, TN
- NPI 1396767430
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Manhattan, KS
- NPI 1023900651
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575504000000",
"number": "1528196375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2966 LYLEWOOD RD",
"city": "WOODLAWN",
"state": "TN",
"postal_code": "371918206",
"telephone_number": "931-472-9102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6000 RAMSEY WAY",
"city": "DICKSON",
"state": "TN",
"postal_code": "370552198",
"telephone_number": "615-446-3797",
"fax_number": "615-446-5852"
}
],
"practiceLocations": [
{
"address_1": "1820 Memorial Cir",
"address_purpose": "LOCATION",
"city": "Clarksville",
"state": "TN",
"postal_code": "370434539",
"country_code": "US",
"telephone_number": "931-801-5596",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SNYDER",
"first_name": "KELLY",
"middle_name": "L",
"credential": "LPC-MHSP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-02",
"last_updated": "2019-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TN",
"license": "4843",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dickson, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.