Shannon Reynolds

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

292955 Issued in KY

Practice address

802 Stone Creek Pkwy Ste 1a
Louisville, KY 40223-5393

Phone

(502) 653-7211

NPI assigned

Oct 24, 2024

Last updated

Oct 24, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Renew Counseling, LLC

  dba Renew Counseling Services

  • Community/Behavioral Health Agency
  • Louisville, KY
  • NPI 1437699428
  NPD

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

{
    "created_epoch": "1729728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729728000000",
    "number": "1710708417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10210 BARKLEY DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402993121",
            "telephone_number": "502-356-3111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 STONE CREEK PKWY STE 1A",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402235393",
            "telephone_number": "502-653-7211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "SHANNON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-24",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KY",
            "license": "292955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manijeh Reynolds, LPCC
• Meghan Louise Reynolds, P.T.
• Nicholas Daniel Reynolds, MD
• Rachel Elizabeth Reynolds, DMD
• Sean N Reynolds, MD
• Taryn Reynolds, APRN FNP
• Todd Reynolds, LCADC
• Brooke Rezmer, MD
• Courtney Rhea-Ribeiro
• Evan Bradley Rhea, M.D.

• Marriage & Family Therapist in Louisville, KY
• Providers in Louisville, KY by specialty
• Marriage & Family Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2024; 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.