Provider Demographics
NPI:1467822205
Name:SCHINHOFEN, JONATHAN (LPCC)
Entity Type:Individual
Prefix:
First Name:JONATHAN
Middle Name:
Last Name:SCHINHOFEN
Suffix:
Gender:M
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1145 W LEXINGTON AVE STE C
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:KY
Mailing Address - Zip Code:40391-1290
Mailing Address - Country:US
Mailing Address - Phone:859-385-4093
Mailing Address - Fax:859-355-4058
Practice Address - Street 1:1145 W LEXINGTON AVE STE C
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:KY
Practice Address - Zip Code:40391-1290
Practice Address - Country:US
Practice Address - Phone:859-385-4093
Practice Address - Fax:859-355-4058
Is Sole Proprietor?:No
Enumeration Date:2015-10-06
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY243644101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100556170Medicaid