Individual provider Active NPI

Caitlyn Snyder, LPC-IT, SAC-IT

  • Mental Health Counselor
  • La Crosse, WI
National Provider Identifier
1740900869
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
11035-125 Issued in WI
Practice address
115 5TH Ave S
La Crosse, WI 54601-9200
Phone
(262) 229-9250
NPI assigned
Aug 30, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 19576-130 WI
Mental Health Counselor 101YM0800X 11035-125 WI Primary

Addresses

Primary practice location

115 5TH Ave S
La Crosse, WI 54601-9200

Mailing address

717 10TH St N
La Crosse, WI 54601-3463
Phone (507) 460-8014

Other identifiers 2

IdentifierTypeStateIssuer
19576-130OtherWISTATE OF WISCONSIN SAC-IT LICENSE
11035-125OtherWILICENSED PROFESSIONAL COUNSELOR

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address csnyder@pomcounselingllc.com

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
19576-130WIMDAddiction (Substance Use Disorder) Counselor
11035-125WIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Peace of Mind Counseling LLC Past Accepting new patients

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": "1661817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1740900869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 10TH ST N",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546013463",
            "telephone_number": "507-460-8014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 5TH AVE S",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546019200",
            "telephone_number": "262-229-9250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNYDER",
        "first_name": "CAITLYN",
        "credential": "LPC-IT, SAC-IT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-30",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "19576-130",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "11035-125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF WISCONSIN SAC-IT LICENSE",
            "identifier": "19576-130",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED PROFESSIONAL COUNSELOR",
            "identifier": "11035-125",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "csnyder@pomcounselingllc.com",
            "affiliation": "N",
            "address_1": "115 5th Ave S",
            "city": "LA Crosse",
            "state": "WI",
            "country_code": "US",
            "postal_code": "546019200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in La Crosse, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; 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.