Edward Snider, MA, LPCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

1263 Issued in NM

Practice address

3012 Lookout Ridge Dr
Las Cruces, NM 88011-1640

Phone

(575) 541-5367

Fax

(575) 532-1928

NPI assigned

Dec 3, 2009

Last updated

Dec 3, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NM

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

Specialty

Mental Health Counselor

Education

Other, 1975

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Exclusive Psychiatric Care LLCGroup PAC ID 0446579569, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Exclusive Psychiatric Care LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Las Cruces, NM
  • NPI 1609267103
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1259798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259798400000",
    "number": "1174851067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16199",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880046199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3012 LOOKOUT RIDGE DR",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880111640",
            "telephone_number": "575-541-5367",
            "fax_number": "575-532-1928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNIDER",
        "first_name": "EDWARD",
        "credential": "MA, LPCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-12-03",
        "last_updated": "2009-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "1263",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000D3972",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ravelle A Smoor-Kolloffel, PT
• Angelica Smythe, CASE MANAGER
• Brandon Smythe
• Demi Snell, BS
• Lesley C Snelling, M.D.
• Paula Suzanne Snyder, PA-C
• Sol Counseling and Wellness Center
• Sol Psychological Services
• Solara Health & Wellness Clinic LLC
• Yanira Y Solis Acosta

• Mental Health Counselor in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Mental Health Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.