Individual provider Active NPI

Zakary Eugene Kendall, M.A., LPCC

  • Professional Counselor
  • Louisville, KY
National Provider Identifier
1851721757
Registry record updated Mar 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
KY-1275 Issued in KY
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, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2015

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240124002735 KY Practitioner - Mental Health Counselor 6406209659 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
KY-1275KYMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Transformations Hope for Today's Families LLC CurrentSince Jan 1, 2024 Accepting new patients
Mindive Professional CurrentSince Dec 30, 2024 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.

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

Verify at the official NPI Registry.