Individual provider Active NPI

Danielle Snyder, LCDC III

  • Addiction (Substance Use Disorder) Counselor
  • Waverly, OH
National Provider Identifier
1376062463
Registry record updated Nov 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
161757 Issued in OH
Practice address
14572 Highway 23
Waverly, OH 45690
Phone
(740) 947-7581
NPI assigned
Sep 11, 2017
Last updated
Nov 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 161757 OH Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X LCDCIII151091 OH
Mental Health Counselor 101YM0800X LPC1901744 OH
Professional Counselor 101YP2500X E.2202972-SUPV OH

Addresses

Primary practice location

14572 Highway 23
Waverly, OH 45690

Mailing address

14752 US Highway 23
Waverly, OH 45690-8906

Other practice location 1

835 Pleasant Hill Road
Waverly, OH 45690
Phone (740) 648-8830

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
I20260311001121 OH Practitioner - Mental Health Counselor 8729561402 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Phoenix Group Home LLCGroup PAC ID 7911407903, shared by 2 NPIs, 36 clinicians

Practice addresses (Care Compare)

111 W Water St
Chillicothe, OH 45601-2452
Phone (740) 851-6493

1156 Columbus Ave
Suite C
Washington Court House, OH 43160-2612
Phone (740) 895-5900

306 W Union St
Athens, OH 45701-2312

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
161757OHMDAddiction (Substance Use Disorder) Counselor
LCDCIII151091OHMDAddiction (Substance Use Disorder) Counselor
LPC1901744OHMDMental Health Counselor
E.2202972-SUPVOHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenix Group Home, LLC CurrentSince Jan 7, 2026 Accepting new patients
Phoenix Group Home, LLC CurrentSince Jan 7, 2026 Accepting new patients

Locations

221 W Emmitt Ave
Ste 1
Waverly, OH 45690
Phone (740) 835-4054

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/pathihc/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, 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": "1505088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763942400000",
    "number": "1376062463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14752 US HIGHWAY 23",
            "city": "WAVERLY",
            "state": "OH",
            "postal_code": "456908906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14572 HIGHWAY 23",
            "city": "WAVERLY",
            "state": "OH",
            "postal_code": "45690",
            "telephone_number": "740-947-7581"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "835 Pleasant Hill Road",
            "address_purpose": "LOCATION",
            "city": "Waverly",
            "state": "OH",
            "postal_code": "45690",
            "country_code": "US",
            "telephone_number": "740-648-8830",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SNYDER",
        "first_name": "DANIELLE",
        "credential": "LCDC III",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-11",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "161757",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "LCDCIII151091",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "LPC1901744",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.2202972-SUPV",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waverly, OH

Sources for this page

Verify at the official NPI Registry.