Individual provider Active NPI

Rebecca L Roberts-Kerns, LPAT

  • Art Therapist
  • Louisville, KY
National Provider Identifier
1760036768
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Art TherapistTaxonomy code 221700000X
License
252533 Issued in KY
Practice address
214 Breckenridge LN Ste 114
Louisville, KY 40207-3868
Phone
(502) 653-7211
Fax
(502) 416-0723
NPI assigned
Jul 29, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 125.6216 WI
Art Therapist 221700000X 252533 KY Primary

Addresses

Primary practice location

214 Breckenridge LN Ste 114
Louisville, KY 40207-3868

Mailing address

130 Fairfax Ave Ste LLC
Louisville, KY 40207-4939
Phone (502) 653-7211

Other practice location 1

3027 Preston Hwy
Louisville, KY 40217-1716
Phone (502) 653-7211

Other practice location 2

1936 Gardiner Ln Apt 3
Louisville, KY 40205-2858
Phone (913) 375-4394

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
125.6216WIMDProfessional Counselor
252533KYMDArt Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Renew Counseling, LLC CurrentSince Jan 14, 2024 Accepting new patients

Locations

3027 Preston Hwy
Louisville, KY 40217
Phone (502) 653-7211

214 Breckenridge Ln
Ste 114
Louisville, KY 40207
Phone (502) 554-2439

130 Fairfax Ave
Ste Llc
Louisville, KY 40207
Phone (502) 653-7211

Organizations & group practices 1

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": "1564358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778457600000",
    "number": "1760036768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 FAIRFAX AVE STE LLC",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074939",
            "telephone_number": "502-653-7211",
            "fax_number": "502-416-0723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 BRECKENRIDGE LN STE 114",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402073868",
            "telephone_number": "502-653-7211",
            "fax_number": "502-416-0723"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3027 Preston Hwy",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402171716",
            "country_code": "US",
            "telephone_number": "502-653-7211",
            "fax_number": "502-416-0723",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1936 Gardiner Ln Apt 3",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402052858",
            "country_code": "US",
            "telephone_number": "913-375-4394",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTS-KERNS",
        "first_name": "REBECCA",
        "middle_name": "L",
        "credential": "LPAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-29",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "125.6216",
            "primary": false
        },
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": "KY",
            "license": "252533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 May 11, 2026; 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.