Individual provider Active NPI

Mara E Snider, MA

  • Marriage & Family Therapist
  • Crescent City, CA
National Provider Identifier
1306178751
Registry record updated Aug 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
105397 Issued in CA
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

Updated by the provider on Aug 31, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
105397OtherCACALIFORNIA BOARD OF BEHAVIORAL SCIENCES
1306178751MedicaidCA

Other names 1

  • Mara Elizabeth Herriott Former name

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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.