Individual provider Active NPI

Snow Lee

  • Marriage & Family Therapist
  • Osseo, MN
National Provider Identifier
1255748802
Registry record updated Sep 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
109967 Issued in CA
Practice address
225 1St Ave NE
Osseo, MN 55369-1201
Phone
(559) 569-3366
NPI assigned
Jul 15, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 4609 MN
Marriage & Family Therapist 106H00000X 109967 CA Primary

Addresses

Primary practice location

225 1St Ave NE
Osseo, MN 55369-1201

Mailing address

225 1St Ave NE
Osseo, MN 55369-1201
Phone (559) 569-3366

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

LicenseStateTypeSpecialty
109967CAMDMarriage & Family Therapist
4609MNMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Root Therapy Current Accepting new patients
Fresno Family Therapy Marriage & Family Therapist Past Accepting new patients

Locations

225 1st Ave NE
Osseo, MN 55369
Phone (559) 569-3366

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": "1405382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725667200000",
    "number": "1255748802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 1ST AVE NE",
            "city": "OSSEO",
            "state": "MN",
            "postal_code": "553691201",
            "telephone_number": "559-569-3366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 1ST AVE NE",
            "city": "OSSEO",
            "state": "MN",
            "postal_code": "553691201",
            "telephone_number": "559-569-3366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "SNOW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-15",
        "last_updated": "2024-09-07",
        "certification_date": "2024-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "4609",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "109967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Osseo, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 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.

Verify at the official NPI Registry.