Individual provider Active NPI

Morgan Renee Snellgrove, LSW

  • Mental Health Counselor
  • Old Washington, OH
National Provider Identifier
1306217088
Registry record updated Mar 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
S.1500657 Issued in OH
Practice address
239A Old National Road
Old Washington, OH 43768-0094
Phone
(740) 489-5571
Fax
(740) 489-5004
NPI assigned
Oct 7, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Social Worker 1041S0200X S.1500657 OH
Mental Health Counselor 101YM0800X S.1500657 OH Primary

Addresses

Primary practice location

239A Old National Road
Old Washington, OH 43768-0094

Mailing address

PO Box 94
239A Old National Road
Old Washington, OH 43768-0094
Phone (740) 489-5571

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190319000493 OH Practitioner - Clinical Social Worker 3779823380 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Ohio University, College of Osteopathic Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeastern Ohio Counseling Center, LLCGroup PAC ID 0042511834, 6 clinicians

Practice addresses (Care Compare)

239 A Old National Rd
Old Washington, OH 43768-9901
Phone (740) 489-5571

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S.1500657OHMDSchool Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Ohio Counseling Center, LLC. CurrentSince Aug 30, 2020 Accepting new patients
Southeastern Ohio Counseling Center, LLC. CurrentSince Dec 18, 2020 Accepting new patients

Locations

239A Old National Rd
Old Washington, OH 43768
Phone (740) 489-5571

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/southeasternohiocounseling/r4/

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": "1444176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489968000000",
    "number": "1306217088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 94",
            "address_2": "239A OLD NATIONAL ROAD",
            "city": "OLD WASHINGTON",
            "state": "OH",
            "postal_code": "437680094",
            "telephone_number": "740-489-5571",
            "fax_number": "740-489-5004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239A OLD NATIONAL ROAD",
            "city": "OLD WASHINGTON",
            "state": "OH",
            "postal_code": "437680094",
            "telephone_number": "740-489-5571",
            "fax_number": "740-489-5004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNELLGROVE",
        "first_name": "MORGAN",
        "middle_name": "RENEE",
        "name_prefix": "Miss",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-07",
        "last_updated": "2017-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "OH",
            "license": "S.1500657",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "S.1500657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Old Washington, OH

Sources for this page

Verify at the official NPI Registry.