Active NPI
Dawn Kormos Snuggerud, LPCC
- Mental Health Counselor
- Farmington, NM
National Provider Identifier
1295833820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 3310
- Practice address
- 622 W Maple St
Suite G
Farmington, NM 87401-6590 - Phone
- (505) 325-2805
- Fax
- (505) 326-2557
- NPI assigned
- Sep 20, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 3310 | NM | Primary |
Addresses
Primary practice location
622 W Maple St
Suite G
Farmington, NM 87401-6590
Mailing address
8 Road 6065
Farmington, NM 87401-9605
Phone (505) 598-5892
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 24173 | Medicaid | NM |
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 |
|---|---|---|---|
| 3310 | NM | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375747200000",
"number": "1295833820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 ROAD 6065",
"city": "FARMINGTON",
"state": "NM",
"postal_code": "874019605",
"telephone_number": "505-598-5892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "622 W MAPLE ST",
"address_2": "SUITE G",
"city": "FARMINGTON",
"state": "NM",
"postal_code": "874016590",
"telephone_number": "505-325-2805",
"fax_number": "505-326-2557"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SNUGGERUD",
"first_name": "DAWN",
"middle_name": "KORMOS",
"credential": "LPCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2013-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NM",
"license": "3310",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "24173",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Farmington, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.