Active NPI
Jessica Renee Snyder, PCSW
- Mental Health Counselor
- Lincoln, NE
National Provider Identifier
1235611468
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 3472
- Practice address
- 2202 S 11TH St
Lincoln, NE 68502-3559 - Phone
- (402) 475-5161
- Fax
- (402) 799-1055
- NPI assigned
- Sep 4, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | PCSW-810 | WY | |
| Clinical Social Worker | 1041C0700X | 2293 | NE | |
| Mental Health Counselor | 101YM0800X | 3472 | NE | Primary |
Addresses
Primary practice location
2202 S 11TH St
Lincoln, NE 68502-3559
Mailing address
1841 Madora Ave
Douglas, WY 82633-3057
Phone (307) 358-2846
Other practice location 1
1841 Madora Ave
Douglas, WY 82633
Phone (307) 358-2846
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2202 S 11TH St
Lincoln, NE 68502-3559
Phone (402) 475-5161
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3472 | NE | MD | Mental Health Counselor |
| PCSW-810 | WY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centerpointe, Inc. | Mental Health | Current | Accepting new patients |
Locations
2633 P St
Lincoln, NE 68503
Phone (402) 475-5161
2202 S 11th St
Lincoln, NE 68502
Phone (402) 475-5161
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": "1536019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695772800000",
"number": "1235611468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1841 MADORA AVE",
"city": "DOUGLAS",
"state": "WY",
"postal_code": "826333057",
"telephone_number": "307-358-2846",
"fax_number": "307-358-1144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2202 S 11TH ST",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685023559",
"telephone_number": "402-475-5161",
"fax_number": "402-799-1055"
}
],
"practiceLocations": [
{
"address_1": "1841 Madora Ave",
"address_purpose": "LOCATION",
"city": "Douglas",
"state": "WY",
"postal_code": "82633",
"country_code": "US",
"telephone_number": "307-358-2846",
"fax_number": "307-358-1144",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SNYDER",
"first_name": "JESSICA",
"middle_name": "RENEE",
"credential": "PCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-04",
"last_updated": "2023-09-27",
"certification_date": "2023-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WY",
"license": "PCSW-810",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NE",
"license": "2293",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "3472",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; 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.