Active NPI
E. Fred Snow, LCPC
- Professional Counselor
- Nampa, ID
National Provider Identifier
1558418293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 81
- Practice address
- 1214 12TH Ave S
Nampa, ID 83651-4665 - Phone
- (208) 468-0902
- Fax
- (208) 330-1024
- NPI assigned
- Jan 4, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 81 | ID | Primary |
Addresses
Primary practice location
1214 12TH Ave S
Nampa, ID 83651-4665
Mailing address
5303 S Powerline Rd
Nampa, ID 83686-8902
Phone (208) 468-0902
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
| License | State | Type | Specialty |
|---|---|---|---|
| 81 | ID | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1558418293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5303 S POWERLINE RD",
"city": "NAMPA",
"state": "ID",
"postal_code": "836868902",
"telephone_number": "208-468-0902",
"fax_number": "208-330-1024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1214 12TH AVE S",
"city": "NAMPA",
"state": "ID",
"postal_code": "836514665",
"telephone_number": "208-468-0902",
"fax_number": "208-330-1024"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SNOW",
"first_name": "E. FRED",
"name_prefix": "Mr.",
"credential": "LCPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "ID",
"license": "81",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nampa, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.