Individual provider Active NPI

Daniel Joseph Snock

  • Professional Counselor
  • Philadelphia, PA
National Provider Identifier
1649765488
Registry record updated Apr 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC011288 Issued in PA
Practice address
2801 Grant Ave
Philadelphia, PA 19114-1032
Phone
(215) 878-3400
NPI assigned
Jun 25, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2025

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
Professional Counselor 101YP2500X PC011288 PA Primary

Addresses

Primary practice location

2801 Grant Ave
Philadelphia, PA 19114-1032

Mailing address

567 Coach Rd
Horsham, PA 19044-1601
Phone (215) 707-3457

Other practice location 1

1517 Durham Rd
Penndel, PA 19047-5707
Phone (267) 587-2300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: No
  • 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
I20250429001303 PA Practitioner - Mental Health Counselor 9335665702 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PC011288PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ivyland Counseling Center, Inc. CurrentSince Apr 1, 2025 Accepting new patients

Locations

4 Village Sq
Ste 12
New Hope, PA 18938
Phone (215) 444-9204

1210 Old York Rd
Ste 202
Warminster, PA 18974
Phone (215) 444-9204

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1529884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744329600000",
    "number": "1649765488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "567 COACH RD",
            "city": "HORSHAM",
            "state": "PA",
            "postal_code": "190441601",
            "telephone_number": "215-707-3457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 GRANT AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191141032",
            "telephone_number": "215-878-3400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1517 Durham Rd",
            "address_purpose": "LOCATION",
            "city": "Penndel",
            "state": "PA",
            "postal_code": "190475707",
            "country_code": "US",
            "telephone_number": "267-587-2300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SNOCK",
        "first_name": "DANIEL",
        "middle_name": "JOSEPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-25",
        "last_updated": "2025-04-11",
        "certification_date": "2025-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC011288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.