Organization Active NPI

Kelly Snow Therapy PLLC

  • Mental Health Counselor
  • Marshall, VA
National Provider Identifier
1821718339
Registry record updated Sep 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
KELLY SNOW THERAPY PLLC
Practice address
8452 Renalds Ave
Marshall, VA 20115-3755
Phone
(540) 229-4920
NPI assigned
Sep 2, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2022

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

Authorized official

Name
Kelly Snow-Heinz, LPCNPI 1942892054
Title
Owner of PLLC
Phone
(540) 229-4920

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

8452 Renalds Ave
Marshall, VA 20115-3755

Mailing address

332 W Lee Hwy # 237
Warrenton, VA 20186-2428
Phone (540) 229-4920

Other identifiers 3

IdentifierTypeStateIssuer
0701010251OtherVALPC LICENSE
1942892054OtherVANPI 1
LICENSEOtherVA0701010251

Other names 1

  • In Bloom Counseling for Women Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.inbloomcounselingforwomen.com Other

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1662076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662076800000",
    "number": "1821718339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 W LEE HWY # 237",
            "city": "WARRENTON",
            "state": "VA",
            "postal_code": "201862428",
            "telephone_number": "540-229-4920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8452 RENALDS AVE",
            "city": "MARSHALL",
            "state": "VA",
            "postal_code": "201153755",
            "telephone_number": "540-229-4920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLY SNOW THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-02",
        "last_updated": "2022-09-02",
        "certification_date": "2022-09-02",
        "status": "A",
        "authorized_official_last_name": "SNOW-HEINZ",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "OWNER OF PLLC",
        "authorized_official_telephone_number": "540-229-4920",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPC LICENSE",
            "identifier": "0701010251",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI 1",
            "identifier": "1942892054",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "0701010251",
            "identifier": "LICENSE",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.inbloomcounselingforwomen.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "marketing",
            "address_1": "8452 Renalds Ave",
            "city": "Marshall",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201153755",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "In Bloom Counseling for Women",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marshall, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2022; 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.