Kevin Jay Snellen, LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

245034 Issued in KY

Practice address

214 Breckenridge LN Ste 114
Louisville, KY 40207-3868

Phone

(502) 554-2439

NPI assigned

Jan 13, 2012

Last updated

Nov 19, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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 (past)

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

{
    "created_epoch": "1326412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542585600000",
    "number": "1942571559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10101 LINN STATION RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402233848",
            "telephone_number": "502-589-2860"
        },
        {
            "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": "502-554-2439"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1311 N Dixie Hwy",
            "address_purpose": "LOCATION",
            "city": "Elizabethtown",
            "state": "KY",
            "postal_code": "427012621",
            "country_code": "US",
            "telephone_number": "270-769-1304",
            "fax_number": "270-234-8028",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "530 S Jackson St",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402021675",
            "country_code": "US",
            "telephone_number": "502-562-3120",
            "fax_number": "502-562-7050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SNELLEN",
        "first_name": "KEVIN",
        "middle_name": "JAY",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-01-13",
        "last_updated": "2018-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "KY",
            "license": "245034",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "245034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• SN Kentuckiana Rehab, LLC (KORT Sports Performance and Rehab)
• Kelsie Marie Snapp, OTR/L
• Amanda L Sneed, LCSW
• Taja Sneed, B.S.
• Karen Angela Snell-Garus, M.D.
• Victoria Snelling, D.C.
• SNH Derby Tenant LLC
• Bethany Cox Snider, M.D.
• Henry Snider
• Joseph Matthew Snider, MD

• Professional Counselor in Louisville, KY
• Providers in Louisville, KY by specialty
• Professional Counselor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2018; 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.