Individual provider Active NPI

Sanja D Schneider, LMHC

  • Mental Health Counselor
  • Fulton, NY
National Provider Identifier
1518488543
Registry record updated Jan 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
007865 Issued in NY
Practice address
151 N 2ND St
Fulton, NY 13069-1249
Phone
(315) 836-3156
NPI assigned
Jun 29, 2017
Last updated
Jan 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2025

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 007865 NY Primary

Addresses

Primary practice location

151 N 2ND St
Fulton, NY 13069-1249

Mailing address

4241 Sandbar LN
Liverpool, NY 13090-1368
Phone (315) 317-2637

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20250217001135 NY Practitioner - Mental Health Counselor 1153851431 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Oswego Hospital CurrentSince Dec 14, 2024 Accepting new patients
Integrative Mental Health Counseling Services, PLLC Mental Health Past Accepting new patients

Locations

110 W 6th St
Oswego, NY 13126
Phone (315) 349-5511

20 Manor Dr
Oswego, NY 13126
Phone (315) 349-5300

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": "1498694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737244800000",
    "number": "1518488543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4241 SANDBAR LN",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130901368",
            "telephone_number": "315-317-2637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 N 2ND ST",
            "city": "FULTON",
            "state": "NY",
            "postal_code": "130691249",
            "telephone_number": "315-836-3156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHNEIDER",
        "first_name": "SANJA",
        "middle_name": "D",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-29",
        "last_updated": "2025-01-19",
        "certification_date": "2025-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "007865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fulton, NY

Sources for this page

Verify at the official NPI Registry.