Active NPI
Tara Jean Snow, DDIV, CDAC
- Addiction (Substance Use Disorder) Counselor
- High Point, NC
National Provider Identifier
1609675164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 29108
- Practice address
- 1840 Eastchester Drive
Suite 106
High Point, NC 27265 - Phone
- (336) 278-1918
- NPI assigned
- Mar 10, 2025
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 29108 | NC | Primary |
Addresses
Primary practice location
1840 Eastchester Drive
Suite 106
High Point, NC 27265
Mailing address
2748 Lyndhurst Avenue
Winston-Salem, NC 27103
Phone (336) 814-1429
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 |
|---|---|---|---|
| 29108 | NC | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741564800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741564800000",
"number": "1609675164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2748 LYNDHURST AVENUE",
"city": "WINSTON-SALEM",
"state": "NC",
"postal_code": "27103",
"telephone_number": "336-814-1429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1840 EASTCHESTER DRIVE",
"address_2": "SUITE 106",
"city": "HIGH POINT",
"state": "NC",
"postal_code": "27265",
"telephone_number": "336-278-1918"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SNOW",
"first_name": "TARA",
"middle_name": "JEAN",
"name_prefix": "Dr.",
"credential": "DDIV, CDAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-03-10",
"last_updated": "2025-03-10",
"certification_date": "2025-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "29108",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in High Point, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.