Organization Active NPI

KM Snyder & Associates

Doing business as KM Snyder, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Homewood, IL
National Provider Identifier
1740863141
Registry record updated May 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
KM SNYDER & ASSOCIATES
Doing business as
KM Snyder, LLC
Practice address
905 175TH St Ste NE
Homewood, IL 60430-2057
Phone
(773) 294-8312
NPI assigned
May 3, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2021

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

Authorized official

Name
Kreszentia Snyder, MA, LCPC
Title
Ceo
Phone
(773) 294-8312

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

905 175TH St Ste NE
Homewood, IL 60430-2057

Mailing address

905 175TH St Ste NE
Homewood, IL 60430-2057
Phone (773) 294-8312

Other names 1

  • KM Snyder, LLC Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.mindsempowered.org

National Provider Directory

National Provider Directory

Locations

905 175th St
Ste Ne
Homewood, IL 60430
Phone (773) 294-8312

NPI Registry JSON

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

{
    "created_epoch": "1620000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620000000000",
    "number": "1740863141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 175TH ST STE NE",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604302057",
            "telephone_number": "773-294-8312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 175TH ST STE NE",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604302057",
            "telephone_number": "773-294-8312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KM SNYDER & ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-03",
        "last_updated": "2021-05-03",
        "certification_date": "2021-05-03",
        "status": "A",
        "authorized_official_last_name": "SNYDER",
        "authorized_official_first_name": "KRESZENTIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "773-294-8312",
        "authorized_official_credential": "MA, LCPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.mindsempowered.org",
            "affiliation": "N",
            "endpointDescription": "website",
            "address_1": "905 175th St Ste NE",
            "city": "Homewood",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604302057",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "KM Snyder, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Homewood, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2021; 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.