Individual provider Active NPI

Pamela Marie Snyder

  • Mental Health Counselor
  • South Pasadena, FL
National Provider Identifier
1710136189
Registry record updated Jan 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH10244 Issued in FL
Practice address
2525 Pasadena Ave S Ste M
South Pasadena, FL 33707
Phone
(727) 240-3815
NPI assigned
Sep 10, 2008
Last updated
Jan 31, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH10244 FL Primary

Addresses

Primary practice location

2525 Pasadena Ave S Ste M
South Pasadena, FL 33707

Mailing address

2525 Pasadena Ave S Ste M
South Pasadena, FL 33707-4556
Phone (727) 240-3815

Other practice location 1

940 22nd Ave S
St Petersburg, FL 33705-2934
Phone (727) 489-5313

Other practice location 2

940 22nd Ave S
St Petersburg, FL 33705-2934
Phone (727) 489-5313

Other identifiers 1

IdentifierTypeStateIssuer
1710136189MedicaidFL

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

LicenseStateTypeSpecialty
MH10244FLMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1221004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548892800000",
    "number": "1710136189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 PASADENA AVE S STE M",
            "city": "SOUTH PASADENA",
            "state": "FL",
            "postal_code": "337074556",
            "telephone_number": "727-240-3815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 PASADENA AVE S STE M",
            "city": "SOUTH PASADENA",
            "state": "FL",
            "postal_code": "33707",
            "telephone_number": "727-240-3815"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "940 22nd Ave S",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337052934",
            "country_code": "US",
            "telephone_number": "727-489-5313",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "940 22nd Ave S",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337052934",
            "country_code": "US",
            "telephone_number": "727-489-5313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SNYDER",
        "first_name": "PAMELA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-10",
        "last_updated": "2019-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH10244",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1710136189",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Pasadena, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2019; 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.