Active NPI
Mara E Snider, MA
- Marriage & Family Therapist
- Crescent City, CA
National Provider Identifier
1306178751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 105397
- Practice address
- 934 4TH St
Crescent City, CA 95531-4001 - Phone
- (707) 954-0383
- NPI assigned
- Feb 10, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 105397 | CA | |
| Marriage & Family Therapist | 106H00000X | 105397 | CA | Primary |
Addresses
Primary practice location
934 4TH St
Crescent City, CA 95531-4001
Mailing address
1515 Ashford Rd
Crescent City, CA 95531-9439
Phone (707) 954-0383
Other practice location 1
370 9th St
Crescent City, CA 95531-3432
Phone (707) 464-4349 ext. 208
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 105397 | Other | CA | CALIFORNIA BOARD OF BEHAVIORAL SCIENCES |
| 1306178751 | Medicaid | CA |
Other names 1
- Mara Elizabeth Herriott
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Remi Vista, Inc. | Past | Accepting new patients |
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.
-
- Case Management Agency
- Crescent City, CA
- NPI 1578516175
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265760000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693440000000",
"number": "1306178751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1515 ASHFORD RD",
"city": "CRESCENT CITY",
"state": "CA",
"postal_code": "955319439",
"telephone_number": "707-954-0383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "934 4TH ST",
"city": "CRESCENT CITY",
"state": "CA",
"postal_code": "955314001",
"telephone_number": "707-954-0383"
}
],
"practiceLocations": [
{
"address_1": "370 9th St",
"address_purpose": "LOCATION",
"city": "Crescent City",
"state": "CA",
"postal_code": "955313432",
"country_code": "US",
"telephone_number": "707-464-4349 x208",
"fax_number": "707-464-4572",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SNIDER",
"first_name": "MARA",
"middle_name": "E",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-02-10",
"last_updated": "2023-08-31",
"certification_date": "2023-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "105397",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "105397",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA BOARD OF BEHAVIORAL SCIENCES",
"identifier": "105397",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1306178751",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MARA",
"last_name": "HERRIOTT",
"middle_name": "ELIZABETH",
"credential": "MA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Crescent City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.