Individual provider Active NPI

Susan M Snyder, LCPC

  • Professional Counselor
  • Arlington Heights, IL
National Provider Identifier
1457681702
Registry record updated Apr 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180.006901 Issued in IL
Practice address
3385 N Arlington Heights Rd
Suite D
Arlington Heights, IL 60004-7702
Phone
(847) 414-2314
Fax
(847) 577-0254
NPI assigned
Jan 9, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180.006901 IL Primary

Addresses

Primary practice location

3385 N Arlington Heights Rd
Suite D
Arlington Heights, IL 60004-7702

Mailing address

3385 N Arlington Heights Rd
Suite D
Arlington Heights, IL 60004-7702
Phone (847) 414-2314

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20250627002370 IL Order and Referring Only - Mental Health Counselor 3173036738

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1262995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270857600000",
    "number": "1457681702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3385 N ARLINGTON HEIGHTS RD",
            "address_2": "SUITE D",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600047702",
            "telephone_number": "847-414-2314",
            "fax_number": "847-577-0254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3385 N ARLINGTON HEIGHTS RD",
            "address_2": "SUITE D",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600047702",
            "telephone_number": "847-414-2314",
            "fax_number": "847-577-0254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNYDER",
        "first_name": "SUSAN",
        "middle_name": "M",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-09",
        "last_updated": "2010-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.006901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington Heights, IL

Sources for this page

Verify at the official NPI Registry.