Active NPI
Zakary Eugene Kendall, M.A., LPCC
- Professional Counselor
- Louisville, KY
National Provider Identifier
1851721757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- KY-1275
- Practice address
- 4010 Dupont Cir Ste 582
Louisville, KY 40207-4888 - Phone
- (502) 899-5411
- Fax
- (502) 543-1750
- NPI assigned
- Nov 14, 2013
- Last updated
- Mar 16, 2015
- Sex
- Male
- Sole proprietor
- Yes
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 | KY-1275 | KY | Primary |
Addresses
Primary practice location
4010 Dupont Cir Ste 582
Louisville, KY 40207-4888
Mailing address
209 Templin Ave
Bardstown, KY 40004-1627
Phone (502) 432-0092
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| KY-1275 | KY | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Transformations Hope for Today's Families LLC | Current | Accepting new patients | |
| Mindive | Professional | Current | Accepting new patients |
Locations
119 S Sherrin Ave
Ste 240
Louisville, KY 40207
Phone (502) 509-6002
4010 DuPont Cir
Ste 582
Louisville, KY 40207
Phone (502) 747-9918
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Louisville, KY
- NPI 1427229483
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1384387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426464000000",
"number": "1851721757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "209 TEMPLIN AVE",
"city": "BARDSTOWN",
"state": "KY",
"postal_code": "400041627",
"telephone_number": "502-432-0092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4010 DUPONT CIR STE 582",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402074888",
"telephone_number": "502-899-5411",
"fax_number": "502-543-1750"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENDALL",
"first_name": "ZAKARY",
"middle_name": "EUGENE",
"credential": "M.A., LPCC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-11-14",
"last_updated": "2015-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "KY",
"license": "KY-1275",
"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 Mar 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.