Individual provider Active NPI

Pamela Snyder, LCSW

  • Mental Health Counselor
  • Wheat Ridge, CO
National Provider Identifier
1154567873
Registry record updated Dec 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
992148 Issued in CO
Practice address
4891 Independence St
Suite 165
Wheat Ridge, CO 80033-6752
Phone
(303) 456-0600
Fax
(303) 456-0607
NPI assigned
Dec 30, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2008

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 992148 CO Primary

Addresses

Primary practice location

4891 Independence St
Suite 165
Wheat Ridge, CO 80033-6752

Mailing address

4891 Independence St
Suite 165
Wheat Ridge, CO 80033-6752
Phone (303) 456-0600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Sep 20, 2024 through Sep 20, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
992148COMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1230595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1230595200000",
    "number": "1154567873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4891 INDEPENDENCE ST",
            "address_2": "SUITE 165",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800336752",
            "telephone_number": "303-456-0600",
            "fax_number": "303-456-0607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4891 INDEPENDENCE ST",
            "address_2": "SUITE 165",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800336752",
            "telephone_number": "303-456-0600",
            "fax_number": "303-456-0607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNYDER",
        "first_name": "PAMELA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-30",
        "last_updated": "2008-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "992148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheat Ridge, CO

Sources for this page

Verify at the official NPI Registry.