Active NPI
Codi L Snyder
- Addiction (Substance Use Disorder) Counselor
- Mentor, OH
National Provider Identifier
1194366237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 190383
- Practice address
- 9083 Mentor Ave
Mentor, OH 44060-6462 - Phone
- (440) 255-0678
- Fax
- (440) 255-6348
- NPI assigned
- Sep 30, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 190383 | OH | Primary |
Addresses
Primary practice location
9083 Mentor Ave
Mentor, OH 44060-6462
Mailing address
109 S Poplar St Apt 7-1
Jefferson, OH 44047-1354
Phone (440) 813-3164
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
| License | State | Type | Specialty |
|---|---|---|---|
| 190383 | OH | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734912000000",
"number": "1194366237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 S POPLAR ST APT 7-1",
"city": "JEFFERSON",
"state": "OH",
"postal_code": "440471354",
"telephone_number": "440-813-3164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9083 MENTOR AVE",
"city": "MENTOR",
"state": "OH",
"postal_code": "440606462",
"telephone_number": "440-255-0678",
"fax_number": "440-255-6348"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SNYDER",
"first_name": "CODI",
"middle_name": "L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-09-30",
"last_updated": "2024-12-23",
"certification_date": "2024-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "190383",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mentor, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.