Individual provider Active NPI

Maria Snyder-Cooper, LMHCA

  • Mental Health Counselor
  • Fort Wayne, IN
National Provider Identifier
1124662457
Registry record updated Feb 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
1210 Guthrie St
Fort Wayne, IN 46802-3713
Phone
(260) 224-0998
NPI assigned
Oct 30, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 88001123A IN
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

1210 Guthrie St
Fort Wayne, IN 46802-3713

Mailing address

1210 Guthrie St
Fort Wayne, IN 46802-3713
Phone (260) 433-5235

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
88001123AINMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Victory Cross, Inc Mental Health CurrentSince Feb 23, 2025 Accepting new patients
Renaissance Counseling Center,LLC CurrentSince Feb 23, 2025 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1572393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739491200000",
    "number": "1124662457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 GUTHRIE ST",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468023713",
            "telephone_number": "260-433-5235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 GUTHRIE ST",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468023713",
            "telephone_number": "260-224-0998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNYDER-COOPER",
        "first_name": "MARIA",
        "credential": "LMHCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-30",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "88001123A",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2025; 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.