Individual provider Active NPI

Krista Snyder, PCLC

  • Professional Counselor
  • Missoula, MT
National Provider Identifier
1013754993
Registry record updated Jul 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
BBH-PCLC-LIC-72144 Issued in MT
Practice address
913 SW Higgins Ave Ste 102
Missoula, MT 59803-1423
Phone
(406) 544-5902
NPI assigned
Jul 9, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2024

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 BBH-PCLC-LIC-72144 MT Primary

Addresses

Primary practice location

913 SW Higgins Ave Ste 102
Missoula, MT 59803-1423

Mailing address

913 SW Higgins Ave Ste 102
Missoula, MT 59803-1423
Phone (406) 544-5902

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
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
I20260409000858 MT Practitioner - Mental Health Counselor 7719452507 Practice locations: Missoula, MT

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

913 SW Higgins Ave
Suite 102
Missoula, MT 59803-1423
Phone (406) 531-2362

PO Box
Suite 9431
Missoula, MT 59807-9431

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
BBH-PCLC-LIC-72144MTMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Creek Canyon Psychotherapy PLLC Current Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1720483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1013754993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "913 SW HIGGINS AVE STE 102",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598031423",
            "telephone_number": "406-544-5902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 SW HIGGINS AVE STE 102",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598031423",
            "telephone_number": "406-544-5902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNYDER",
        "first_name": "KRISTA",
        "credential": "PCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-09",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MT",
            "license": "BBH-PCLC-LIC-72144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

Verify at the official NPI Registry.