Individual provider Active NPI

Judith N. Snyder, LPC

  • Mental Health Counselor
  • Bethlehem, PA
National Provider Identifier
1417289653
Registry record updated Jan 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
PC005392 Issued in PA
Practice address
618 4TH Ave
Suite 205
Bethlehem, PA 18018-5575
Phone
(610) 295-9857
Fax
(610) 769-8096
NPI assigned
Feb 12, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X PC005392 PA Primary

Addresses

Primary practice location

618 4TH Ave
Suite 205
Bethlehem, PA 18018-5575

Mailing address

618 4TH Ave
Suite 205
Bethlehem, PA 18018-5575
Phone (610) 295-9857

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

LicenseStateTypeSpecialty
PC005392PAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1265932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454025600000",
    "number": "1417289653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 4TH AVE",
            "address_2": "SUITE 205",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180185575",
            "telephone_number": "610-295-9857",
            "fax_number": "610-769-8096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 4TH AVE",
            "address_2": "SUITE 205",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180185575",
            "telephone_number": "610-295-9857",
            "fax_number": "610-769-8096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNYDER",
        "first_name": "JUDITH",
        "middle_name": "N.",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-12",
        "last_updated": "2016-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC005392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.