Individual provider Active NPI

Kelly L Snyder, LPC-MHSP

  • Professional Counselor
  • Dickson, TN
National Provider Identifier
1528196375
Registry record updated Dec 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
4843 Issued in TN
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

Updated by the provider on Dec 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
4843TNMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Centerstone of Tennessee, Inc. CurrentSince Dec 9, 2019 Accepting new patients
Centerstone of Tennessee, Inc. PastSince Dec 9, 2019 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.

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.

Verify at the official NPI Registry.