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
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.mindsempowered.org |
National Provider Directory
National Provider DirectoryLocations
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.