Individual provider Active NPI

Lynda M Snellman

  • Mental Health Counselor
  • Milford, OH
National Provider Identifier
1073564449
Registry record updated Feb 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
I0004900 Issued in OH
Practice address
5400 Dupont Circle
Suite a
Milford, OH 45150-9607
Phone
(513) 576-7700
Fax
(513) 576-1020
NPI assigned
May 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X I0004900 OH Primary

Addresses

Primary practice location

5400 Dupont Circle
Suite a
Milford, OH 45150-9607

Mailing address

218 Stern Rd
Seaman, OH 45679-9607
Phone (937) 386-1379

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I0004900OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Charities Southwestern Ohio Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/ccswoh/r4/

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": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233705600000",
    "number": "1073564449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 STERN RD",
            "city": "SEAMAN",
            "state": "OH",
            "postal_code": "456799607",
            "telephone_number": "937-386-1379",
            "fax_number": "937-386-0129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 DUPONT CIRCLE",
            "address_2": "SUITE A",
            "city": "MILFORD",
            "state": "OH",
            "postal_code": "451509607",
            "telephone_number": "513-576-7700",
            "fax_number": "513-576-1020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNELLMAN",
        "first_name": "LYNDA",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-12",
        "last_updated": "2009-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "I0004900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, OH

Sources for this page

Verify at the official NPI Registry.