Individual provider Active NPI

Adrianne Nichol Snyder, MA, ATR-BC, LPCC

  • Professional Counselor
  • Canton, OH
National Provider Identifier
1194112193
Registry record updated Jul 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E.1901204 Issued in OH
Practice address
4275 Fulton Dr NW
Canton, OH 44718-2821
Phone
(330) 249-3004
NPI assigned
Apr 17, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Art Therapist 221700000X 17-370
Professional Counselor 101YP2500X E.1901204 OH Primary

Addresses

Primary practice location

4275 Fulton Dr NW
Canton, OH 44718-2821

Mailing address

3181 Angleterre Blvd
Akron, OH 44312-5005
Phone (330) 265-8915

Other practice location 1

3181 Angleterre Blvd
Akron, OH 44312-5005
Phone (330) 265-8915

Other identifiers 1

IdentifierTypeStateIssuer
0256513MedicaidOH

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
E.1901204OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Leaves of the Tree, LLC Professional CurrentSince Jul 23, 2023 Accepting new patients

Locations

4275 Fulton Dr NW
Canton, OH 44718
Phone (330) 249-3004

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": "1429228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689638400000",
    "number": "1194112193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3181 ANGLETERRE BLVD",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443125005",
            "telephone_number": "330-265-8915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4275 FULTON DR NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182821",
            "telephone_number": "330-249-3004"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3181 Angleterre Blvd",
            "address_purpose": "LOCATION",
            "city": "Akron",
            "state": "OH",
            "postal_code": "443125005",
            "country_code": "US",
            "telephone_number": "330-265-8915",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SNYDER",
        "first_name": "ADRIANNE",
        "middle_name": "NICHOL",
        "name_prefix": "Mrs.",
        "credential": "MA, ATR-BC, LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-17",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": null,
            "license": "17-370",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.1901204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0256513",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; 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.