Individual provider Active NPI

Jan Pier Snedigar, MSSW

  • Mental Health Counselor
  • Ellsworth AFB, SD
National Provider Identifier
1174737811
Registry record updated Nov 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
CSW-PIP 1735 Issued in SD
Practice address
2900 Doolittle Dr
28 Mdos Sgoh
Ellsworth AFB, SD 57706-4821
Phone
(605) 385-3656
Fax
(605) 385-2030
NPI assigned
May 10, 2007
Last updated
Nov 14, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2007

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 CSW-PIP 1735 SD Primary

Addresses

Primary practice location

2900 Doolittle Dr
28 Mdos Sgoh
Ellsworth AFB, SD 57706-4821

Mailing address

2900 Doolittle Dr
28 Mdos Sgoh
Ellsworth AFB, SD 57706-4821
Phone (605) 385-3656

Other names 1

  • Jan Pier Krizan Other name

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
CSW-PIP 1735SDMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194998400000",
    "number": "1174737811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 DOOLITTLE DR",
            "address_2": "28 MDOS SGOH",
            "city": "ELLSWORTH AFB",
            "state": "SD",
            "postal_code": "577064821",
            "telephone_number": "605-385-3656",
            "fax_number": "605-385-2030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 DOOLITTLE DR",
            "address_2": "28 MDOS SGOH",
            "city": "ELLSWORTH AFB",
            "state": "SD",
            "postal_code": "577064821",
            "telephone_number": "605-385-3656",
            "fax_number": "605-385-2030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNEDIGAR",
        "first_name": "JAN",
        "middle_name": "PIER",
        "name_prefix": "Ms.",
        "credential": "MSSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-10",
        "last_updated": "2007-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SD",
            "license": "CSW-PIP 1735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAN",
            "last_name": "KRIZAN",
            "middle_name": "PIER",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ellsworth AFB, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2007; 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.