Individual provider Active NPI

Tynessia Nicole Cherokee Snoddy, MA, LADC, LPCC

  • Professional Counselor
  • Minneapolis, MN
National Provider Identifier
1194354605
Registry record updated Feb 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
CC05365 Issued in MN
Practice address
525 Portland Ave
MC 963
Minneapolis, MN 55415-1533
Phone
(612) 596-1223
NPI assigned
Apr 6, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 306804 MN
Professional Counselor 101YP2500X CC05365 MN Primary

Addresses

Primary practice location

525 Portland Ave
MC 963
Minneapolis, MN 55415-1533

Mailing address

525 Portland Ave
Minneapolis, MN 55415-1533
Phone (612) 596-1223

Other practice location 1

705 42nd Ave N Fl 3
Minneapolis, MN 55412-1711
Phone (612) 284-8115

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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

Enrollment IDStateProvider typePAC IDDetails
I20260303002580 MN Practitioner - Mental Health Counselor 3274015995 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Group practices
Arubah Emotional Health Services, PAGroup PAC ID 3971923681, 5 clinicians

Practice addresses (Care Compare)

705 42ND Ave N
FL 3
Minneapolis, MN 55412-1711
Phone (612) 284-8115

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
306804MNMDAddiction (Substance Use Disorder) Counselor
CC05365MNMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Arubah Emotional Health Services PA CurrentSince Feb 19, 2026 Accepting new patients
Rainbow Health Minnesota PastSince Apr 17, 2020 Accepting new patients

Locations

705 42nd Ave N
Fl 3
Minneapolis, MN 55412
Phone (612) 284-8115

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1586131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771286400000",
    "number": "1194354605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 PORTLAND AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554151533",
            "telephone_number": "612-596-1223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 PORTLAND AVE",
            "address_2": "MC 963",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554151533",
            "telephone_number": "612-596-1223"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "705 42nd Ave N Fl 3",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554121711",
            "country_code": "US",
            "telephone_number": "612-284-8115",
            "fax_number": "763-273-8892",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SNODDY",
        "first_name": "TYNESSIA",
        "middle_name": "NICOLE CHEROKEE",
        "name_prefix": "Ms.",
        "credential": "MA, LADC, LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-06",
        "last_updated": "2026-02-17",
        "certification_date": "2026-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "306804",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "CC05365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.