Active NPI
Eric Snipes, LPC
- Counselor
- Kennett, MO
National Provider Identifier
1316983463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 101Y00000X
- Practice address
- 925 Highway V V
Kennett, MO 63857 - Phone
- (573) 888-5925
- NPI assigned
- Jun 20, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 101Y00000X | MO | Primary |
Addresses
Primary practice location
925 Highway V V
Kennett, MO 63857
Mailing address
925 Highway V V
P.O. Box 71
Kennett, MO 63857
Phone (573) 888-5925
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 913527 | Other | HEALTHLINK PPO | |
| 1618235 | Other | FIRST HEALTH/COVENTRY | |
| 491108908 | Medicaid | MO | |
| 11594363 | Other | CAQH | |
| 43111673463857A030 | Other | TRIWEST | |
| 2719 | Other | EAP IMPACT |
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 |
|---|---|---|---|
| 101Y00000X | MO | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219881600000",
"number": "1316983463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "925 HIGHWAY V V",
"address_2": "P.O. BOX 71",
"city": "KENNETT",
"state": "MO",
"postal_code": "63857",
"telephone_number": "573-888-5925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "925 HIGHWAY V V",
"city": "KENNETT",
"state": "MO",
"postal_code": "63857",
"telephone_number": "573-888-5925"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SNIPES",
"first_name": "ERIC",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-20",
"last_updated": "2008-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MO",
"license": "101Y00000X",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK PPO",
"identifier": "913527",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH/COVENTRY",
"identifier": "1618235",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "491108908",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11594363",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRIWEST",
"identifier": "43111673463857A030",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EAP IMPACT",
"identifier": "2719",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Kennett, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.