Individual provider Active NPI

Jean Marie Snyder, OTRL, LPC

  • Professional Counselor
  • Clawson, MI
National Provider Identifier
1043377567
Registry record updated Jul 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401005384 Issued in MI
Practice address
76 Elmsford Dr
Clawson, MI 48017-1236
Phone
(248) 238-5588
NPI assigned
Jan 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 5201007944 MI
Professional Counselor 101YP2500X 6401005384 MI Primary

Addresses

Primary practice location

76 Elmsford Dr
Clawson, MI 48017-1236

Mailing address

76 Elmsford Dr
Clawson, MI 48017-1236
Phone (248) 238-5588

Other identifiers 1

IdentifierTypeStateIssuer
6401005384OtherMILICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20241217001753 MI Practitioner - Mental Health Counselor 6305373242 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6401005384MIMDProfessional Counselor
5201007944MIMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jean Snyder, Occupational Therapist, PLLC Occupational Therapist CurrentSince Oct 4, 2020 Accepting new patients
Grow Healthcare Group PA Professional CurrentSince Nov 13, 2024 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

250 Monroe Ave NW
Ste 400
Grand Rapids, MI 49503
Phone (616) 441-4616

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751500800000",
    "number": "1043377567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 ELMSFORD DR",
            "city": "CLAWSON",
            "state": "MI",
            "postal_code": "480171236",
            "telephone_number": "248-238-5588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 ELMSFORD DR",
            "city": "CLAWSON",
            "state": "MI",
            "postal_code": "480171236",
            "telephone_number": "248-238-5588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNYDER",
        "first_name": "JEAN",
        "middle_name": "MARIE",
        "credential": "OTRL, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-03",
        "last_updated": "2025-07-03",
        "certification_date": "2025-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201007944",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401005384",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "6401005384",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clawson, MI

Sources for this page

Verify at the official NPI Registry.