Individual provider Active NPI

Tiera Snelling, LSW

  • Mental Health Counselor
  • Sycamore, IL
National Provider Identifier
1588446033
Registry record updated Jan 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
149.031058 Issued in IL
Practice address
760 Foxpointe Dr
Sycamore, IL 60178-3290
Phone
(815) 748-8334
NPI assigned
Oct 19, 2023
Last updated
Jan 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 149.031058 IL Primary
Social Worker 104100000X 150.111883 IL

Addresses

Primary practice location

760 Foxpointe Dr
Sycamore, IL 60178-3290

Mailing address

336 N Dove St
Cortland, IL 60112-4135
Phone (630) 550-7755

Other practice location 1

336 N Dove St
Cortland, IL 60112-4135
Phone (630) 550-7755

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
I20260311003268 IL Order and Referring Only - Clinical Social Worker 6204319866

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.031058ILMDMental Health Counselor
150.111883ILMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Kishwaukee Community Health Services Center PastSince Oct 22, 2023 Accepting new patients

Organizations & group practices 1

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": "1697673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769644800000",
    "number": "1588446033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 N DOVE ST",
            "city": "CORTLAND",
            "state": "IL",
            "postal_code": "601124135",
            "telephone_number": "630-550-7755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 FOXPOINTE DR",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "601783290",
            "telephone_number": "815-748-8334"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "336 N Dove St",
            "address_purpose": "LOCATION",
            "city": "Cortland",
            "state": "IL",
            "postal_code": "601124135",
            "country_code": "US",
            "telephone_number": "630-550-7755",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SNELLING",
        "first_name": "TIERA",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-19",
        "last_updated": "2026-01-29",
        "certification_date": "2026-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "149.031058",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150.111883",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sycamore, IL

Sources for this page

Verify at the official NPI Registry.