Individual provider Active NPI

Angela Menta Snelling, MA LPC

  • Professional Counselor
  • Old Saybrook, CT
National Provider Identifier
1336175637
Registry record updated May 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
001376 Issued in CT
Practice address
4 Willow Brook Farm Rd
Old Saybrook, CT 06475-4039
Phone
(916) 390-1211
NPI assigned
Jun 25, 2006
Last updated
May 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0680136275 VT
Mental Health Counselor 101YM0800X 12452 MA
Professional Counselor 101YP2500X 4887 CA
Professional Counselor 101YP2500X 001376 CT Primary
Professional Counselor 101YP2500X CC7838 ME

Addresses

Primary practice location

4 Willow Brook Farm Rd
Old Saybrook, CT 06475-4039

Mailing address

4 Willow Brook Farm Rd Ste 100-189
Old Saybrook, CT 06475-4039
Phone (916) 390-1211

Other identifiers 1

IdentifierTypeStateIssuer
240001376CT02OtherCTANTHEM BLUE CROSS & BLUE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20250522001782 MA Practitioner - Mental Health Counselor 9638698632 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mental Health Specialty Group PAGroup PAC ID 8921466228, 726 clinicians

Practice addresses (Care Compare)

101 Federal St
Boston, MA 02110-1817
Phone (323) 205-7088

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12452MAMDMental Health Counselor
0680136275VTMDMental Health Counselor
CC7838MEMDProfessional Counselor
001376CTMDClinical Social Worker
4887CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Specialty Group PA Mental Health CurrentSince May 16, 2025 Accepting new patients

Locations

101 Federal St
Boston, MA 02110
Phone (206) 744-8030

500 Westover Dr
Sanford, NC 27330
Phone (478) 766-4000

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778889600000",
    "number": "1336175637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 WILLOW BROOK FARM RD STE 100-189",
            "city": "OLD SAYBROOK",
            "state": "CT",
            "postal_code": "064754039",
            "telephone_number": "916-390-1211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 WILLOW BROOK FARM RD",
            "city": "OLD SAYBROOK",
            "state": "CT",
            "postal_code": "064754039",
            "telephone_number": "916-390-1211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNELLING",
        "first_name": "ANGELA",
        "middle_name": "MENTA",
        "credential": "MA LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-25",
        "last_updated": "2026-05-16",
        "certification_date": "2026-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "0680136275",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "12452",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "4887",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "001376",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ME",
            "license": "CC7838",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS & BLUE",
            "identifier": "240001376CT02",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Old Saybrook, CT

Sources for this page

Verify at the official NPI Registry.