Individual provider Active NPI

Timothy Ryan Snyder, LPCC

  • Professional Counselor
  • Lancaster, OH
National Provider Identifier
1396143533
Registry record updated Mar 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E0701113 Issued in OH
Practice address
220 E Walnut St
Lancaster, OH 43130-4464
Phone
(740) 277-6043
Fax
(740) 277-7595
NPI assigned
Dec 19, 2014
Last updated
Mar 13, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X E0701113 OH Primary
Mental Health Counselor 101YM0800X E-0701113 OH

Addresses

Primary practice location

220 E Walnut St
Lancaster, OH 43130-4464

Mailing address

220 E Walnut St
Lancaster, OH 43130-4464
Phone (740) 277-6043

Other practice location 1

1170 Old Henderson Rd Ste 207
Columbus, OH 43220-3623
Phone (614) 348-8774

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
I20240313004015 OH Practitioner - Mental Health Counselor 3375989247 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

220 E Walnut St
Lancaster, OH 43130-4464
Phone 74027760431318

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E-0701113OHMDMental Health Counselor
E0701113OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Fairfield Community Health Center CurrentSince Feb 27, 2024 Accepting new patients
Fairfield Community Health Center CurrentSince Feb 27, 2024 Accepting new patients
Laura L. Dekle, LPCC-S, Licdc-CS, LLC PastSince Jan 21, 2024 Accepting new patients

Locations

220 E Walnut St
Lancaster, OH 43130
Phone (740) 277-6043

Interoperability endpoints

  • Direct secure messaging: timothy.snyder.p10@direct.fchc.nextgenshare.com

Organizations & group practices 3

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": "1418947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710288000000",
    "number": "1396143533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 E WALNUT ST",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431304464",
            "telephone_number": "740-277-6043",
            "fax_number": "740-277-7595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 E WALNUT ST",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431304464",
            "telephone_number": "740-277-6043",
            "fax_number": "740-277-7595"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1170 Old Henderson Rd Ste 207",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432203623",
            "country_code": "US",
            "telephone_number": "614-348-8774",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SNYDER",
        "first_name": "TIMOTHY",
        "middle_name": "RYAN",
        "name_prefix": "Mr.",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-12-19",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E0701113",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E-0701113",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, OH

Sources for this page

Verify at the official NPI Registry.