Active NPI
Snow Lee
- Marriage & Family Therapist
- Osseo, MN
National Provider Identifier
1255748802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 109967
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 109967 | CA | MD | Marriage & Family Therapist |
| 4609 | MN | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Adult Mental Health Clinic/Center
- Osseo, MN
- NPI 1548007230
-
- Marriage & Family Therapist
- Fresno, CA
- NPI 1174016240
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.