Individual provider Active NPI

Deborah L. Snelson, MA

  • Counseling Psychologist
  • Carlisle, PA
National Provider Identifier
1629016738
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
004860L Issued in PA
Practice address
2 Tyler CT
Carlisle, PA 17013-7671
Phone
(717) 249-1033
Fax
(717) 245-9036
NPI assigned
Jun 2, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 004860L PA Primary

Addresses

Primary practice location

2 Tyler CT
Carlisle, PA 17013-7671

Mailing address

2 Tyler CT
Carlisle, PA 17013-7671
Phone (717) 249-1033

Other identifiers 3

IdentifierTypeStateIssuer
02324000OtherPACAPITAL BLUE CROSS
88922500OtherPAHIGHMARK BLUE SHIELD
11451083OtherCAQH

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)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
004860LPAMDCounseling Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629016738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 TYLER CT",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170137671",
            "telephone_number": "717-249-1033",
            "fax_number": "717-245-9036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 TYLER CT",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170137671",
            "telephone_number": "717-249-1033",
            "fax_number": "717-245-9036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNELSON",
        "first_name": "DEBORAH",
        "middle_name": "L.",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "PA",
            "license": "004860L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "02324000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "88922500",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11451083",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlisle, PA

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.

Verify at the official NPI Registry.